Population Specific Care

Population Specific Care Related

Review Population Specific Care related questions and content

A patient tells the nurse that he is planning to hire a private detective to follow his wife, who he believes is having an extramarital affair. The patient looks behind the door to be sure no one is eavesdropping and asks the nurse what she did with his medical record after he left. The patient's behaviors are most consistent with a diagnosis of:

  • A. antisocial personality disorder.
  • B. schizoid personality disorder.
  • C. paranoid personality disorder.
  • D. obsessive-compulsive personality disorder.
Correct Answer: C

Rationale: Rationale: The correct diagnosis is paranoid personality disorder (C). This is supported by the patient's suspiciousness and mistrust, as shown by planning to hire a detective and checking for eavesdroppers. These behaviors align with the core features of paranoid personality disorder, such as pervasive distrust and suspicion of others.
Incorrect choices:
A: Antisocial personality disorder is characterized by disregard for others' rights and lack of empathy, not by suspicion or mistrust.
B: Schizoid personality disorder entails social withdrawal and emotional coldness, not suspiciousness.
D: Obsessive-compulsive personality disorder involves perfectionism and control, not paranoia or mistrust.

You may also like to solve these questions

The management of nausea as a side effect of lithium carbonate (Eskalith) includes instructing the patient to take the medication:

  • A. after meals
  • B. between meals
  • C. with a carbonated beverage
  • D. with a large glass of water
Correct Answer: A

Rationale: Taking lithium after meals reduces gastrointestinal irritation, including nausea, by buffering its absorption.

Serious mental illness is characterized as:

  • A. any mental illness of more than 2 weeks duration
  • B. a major long-term mental illness marked by significant functional impairments
  • C. a mental illness accompanied by physical impairment and severe social problems
  • D. a major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities
Correct Answer: B

Rationale: Serious mental illness has replaced the term chronic mental illness. Global impairments in function are evident particularly social. Physical impairments may be present. Serious mental illness can be treated, but remissions and exacerbations are part of the course of the illness.

A client with anorexia nervosa has refused meal trays and supplemental feedings for 3 days following admission to the general hospital. The nurse can anticipate that intervention will include:

  • A. IV infusions beginning immediately and continuing for 48 hours after client begins eating.
  • B. Tube feedings until the client eats 90% of all meals for 1 day.
  • C. Placing the client on suicide precautions and one-to-one observation.
  • D. Limiting peer group visitors for 2 weeks.
Correct Answer: B

Rationale: The correct answer is B. Tube feedings until the client eats 90% of all meals for 1 day. This intervention is appropriate for a client with anorexia nervosa who is refusing to eat. Tube feedings ensure adequate nutrition while also encouraging the client to resume eating orally. It is a gradual approach that aims to transition the client back to regular eating habits.

Explanation for why other choices are incorrect:
A: IV infusions are not the first-line intervention for a client with anorexia nervosa refusing to eat. This choice does not address the underlying issue of the client's refusal to eat.
C: Placing the client on suicide precautions and one-to-one observation is not indicated solely based on refusal to eat. This choice does not address the nutritional needs of the client.
D: Limiting peer group visitors for 2 weeks does not address the client's refusal to eat and is not a relevant intervention in this situation.

The dopamine-psychosis link is based on the observation that

  • A. low dopamine levels of activity in the brain seem to produce psychotic symptoms
  • B. there are high levels of dopamine activity in the brains of psychotic people
  • C. there are high levels of amphetamine in the brains of schizophrenics
  • D. dopamine interacts with serotonin creating psychosis
Correct Answer: B

Rationale: Elevated dopamine activity is associated with psychotic symptoms, especially in schizophrenia.

The psychiatric-mental health nurse knows that the patient's spouse clearly understands the adverse effects of lithium carbonate (Eskalith), when they say:

  • A. I should call the doctor if my spouse shakes badly'
  • B. I should make sure my spouse drinks as much water as possible'
  • C. My spouse must remain on a salt-free diet'
  • D. When the lithium level is 1.6mEq\L, my spouse can go back to work'
Correct Answer: A

Rationale: Tremors are a common lithium side effect requiring medical attention; other options reflect misunderstanding (e.g., salt-free diet increases toxicity risk, 1.6mEq\L is toxic).

Copyright © 2025 Nokea. All rights reserved.