Age Specific Populations

Age Specific Populations Related

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A patient was admitted in a semistuporous catatonic state. Family states that the patient has neither left the apartment nor attended to personal hygiene for several weeks. The patient's last 48 hours have been spent lying in bed, mute and motionless. The nursing diagnosis that should be considered the priority is:

  • A. self-care deficit.
  • B. situational low self-esteem.
  • C. disturbed thought processes.
  • D. impaired verbal communication.
Correct Answer: A

Rationale: The correct answer is A: self-care deficit. This nursing diagnosis should be considered the priority because the patient is unable to attend to personal hygiene and has been lying in bed motionless and mute for 48 hours, indicating a significant impairment in self-care abilities. This is a critical issue that needs immediate attention to prevent further deterioration in the patient's physical and mental health.

Choice B: situational low self-esteem is not the priority as the patient's current state is more indicative of physical neglect rather than a self-esteem issue.

Choice C: disturbed thought processes may be a contributing factor to the patient's presentation, but the priority at this moment is addressing the self-care deficit to ensure the patient's safety and well-being.

Choice D: impaired verbal communication, while important, is not the priority in this scenario as the patient's inability to communicate verbally is secondary to the urgent need for assistance with self-care.

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All of the following are ways that you can reduce your contributions to ground ozone pollution except

  • A. Conserving energy at home and at school
  • B. Carpooling more to reduce pollution
  • C. Use low VOC paints
  • D. Stop smoking
Correct Answer: D

Rationale: Stopping smoking reduces personal health risks but has minimal direct impact on ground-level ozone, unlike the other options.

The characteristic in individuals with personality disorders that makes it most necessary for staff to schedule frequent meetings is:

  • A. flexibility and unconventional responses to stress.
  • B. a desire to achieve emotional intimacy with staff.
  • C. a tendency to evoke countertransference and conflict.
  • D. an impaired ability to develop trusting relationships.
Correct Answer: C

Rationale: The correct answer is C because individuals with personality disorders often evoke countertransference and conflict in staff due to their challenging behaviors and interpersonal dynamics. This can lead to potential misunderstandings and ineffective treatment if not addressed through frequent meetings. Option A is incorrect as flexibility and unconventional responses to stress are not typically the primary concern necessitating frequent meetings. Option B is incorrect as a desire for emotional intimacy is not necessarily a reason for staff to schedule frequent meetings. Option D is incorrect as an impaired ability to develop trusting relationships might be a symptom of a personality disorder, but it is not the characteristic that most necessitates frequent meetings.

The nurse reports to the interdisciplinary team that an antisocial patient lies to other patients, verbally abuses a patient with Alzheimer's disease, flatters his primary nurse, and is detached and superficial during counseling sessions. Which behavior should be the priority focus of limit setting?

  • A. Lying to other patients
  • B. Flattering the nursing staff
  • C. Verbally abusing other patients
  • D. Superficiality during counseling
Correct Answer: C

Rationale: The correct answer is C: Verbally abusing other patients should be the priority focus of limit setting. This behavior poses a direct threat to the safety and well-being of other patients. By addressing verbal abuse first, the nurse can establish boundaries and maintain a safe environment for all patients. Lying to other patients (A) may be addressed but is not as immediate a concern. Flattering the nursing staff (B) is manipulative but not as harmful as verbal abuse. Superficiality during counseling sessions (D) may indicate other issues but is not as urgent as addressing the verbal abuse.

The nurse is aware, when developing a care plan, that the three major goals of care for the client in whom Alzheimer's disease has been diagnosed include providing for the client's safety and well-being, therapeutically managing the client's behaviors, and:

  • A. Supporting the client during curative care
  • B. Providing support for family, relatives, and caregivers
  • C. Arranging for nursing home placement
  • D. Tracking the progress of medical, legal, and financial records
Correct Answer: B

Rationale: The correct answer is B: Providing support for family, relatives, and caregivers. This is because Alzheimer's disease not only affects the individual but also has a significant impact on their family and caregivers. Providing support to them is crucial for maintaining the overall well-being of the client. Choice A is incorrect as Alzheimer's disease does not have a curative treatment. Choice C is incorrect as nursing home placement is not always necessary and should be considered as a last resort. Choice D is incorrect as tracking medical, legal, and financial records is important but not a major goal in the care plan for Alzheimer's clients. Supporting the family and caregivers helps in creating a supportive environment for the client and ensures holistic care.

An 85-year-old patient is admitted to the hospital with the diagnosis of cerebrovascular accident and depression. The symptom that is unrelated to depression would be?

  • A. Crying and refusing to perform task
  • B. Answering I forgot to questions
  • C. Having positive self-esteem
  • D. Neglecting ADLs
Correct Answer: C

Rationale: The patient may suffer from depression as a result of limitations produced by the stroke. Depression can be evidenced by sadness (A), confusion (B), and lack of self-care (D). Positive self-esteem (C) is inconsistent with depression.

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