Population Based Care

Population Based Care Related

Review Population Based Care related questions and content

A patient with bipolar disorder is hyperactive and has not slept for 3 days. Mood and behavior are labile. The patient threatens to hit another patient. Which response by the nurse is appropriate?

  • A. Stop that now. No one did anything to provoke an attack by you.
  • B. If you try that again, you will be placed in seclusion immediately.
  • C. Do not hit anyone. If you are unable to control yourself, we will help you.
  • D. You know we will not let you hit anyone. Why do you continue this behavior?
Correct Answer: C

Rationale: The correct answer is C because it acknowledges the patient's struggle to control their behavior and offers support. It emphasizes the importance of not hitting anyone while also reassuring the patient that help is available if needed. This response promotes a therapeutic environment by setting clear boundaries and offering assistance rather than using threats or aggression.

Choice A is incorrect as it may escalate the situation by using a confrontational tone, potentially provoking further aggression. Choice B is also incorrect as it threatens the patient with seclusion, which can be seen as punitive and may not address the underlying issues causing the behavior. Choice D is incorrect as it does not provide a clear directive to prevent violence and instead questions the patient's behavior without offering immediate support.

You may also like to solve these questions

A nurse observes a patient who is sitting alone in a room put hands over both ears and vigorously shake her head as though saying, 'No.' Later the patient cries and mutters, 'You don't know what you're talking about! Leave me alone.' What assessment should the nurse attempt to validate?

  • A. The patient is seeking the attention of staff.
  • B. The patient is inappropriately expressing emotion.
  • C. The patient is experiencing auditory hallucinations.
  • D. The patient is displaying negative symptoms of schizophrenia.
Correct Answer: C

Rationale: The correct answer is C because the patient's behavior indicates a possible experience of auditory hallucinations. The patient covering both ears and shaking her head could be an attempt to block out voices or sounds she is hearing. The subsequent crying and muttering could be a response to these hallucinations.

Choice A is incorrect because the patient's behavior does not necessarily indicate a desire for attention. Choice B is incorrect because the patient's emotional expression is not the primary focus of the behavior. Choice D is incorrect because negative symptoms of schizophrenia typically involve a decrease in emotional expression or motivation, which is not evident in this scenario.

A normal person sees flashes of light while falling asleep. These are examples of

  • A. Hypnopompic hallucinations
  • B. Eidetic imagery
  • C. Visual hallucinations
  • D. Complex hallucinations
Correct Answer: C

Rationale: Flashes of light while falling asleep are hypnagogic visual hallucinations, a normal phenomenon, though 'visual hallucinations' is the closest match here.

Which statement by a patient with bulimia nervosa suggests the need for further education?

  • A. I understand that purging is harmful to my health.
  • B. I have learned to control my binge eating episodes.
  • C. I feel that I can continue purging occasionally without harm.
  • D. I know that therapy can help me change my eating behaviors.
Correct Answer: C

Rationale: The correct answer is C because it indicates a lack of awareness about the harmful consequences of purging. The statement suggests a rationalization of continuing the harmful behavior, showing a need for further education on the risks associated with purging. Choice A demonstrates understanding of the harm, B shows progress in controlling binge eating, and D acknowledges the potential benefits of therapy. Educating the patient about the dangers of purging is crucial in addressing their condition effectively.

The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels 'nervous and jittery inside.' The nurse is aware that this client most likely is experiencing:

  • A. Akinesia
  • B. Dystonia
  • C. Dyskinesia
  • D. Akathisia
Correct Answer: D

Rationale: The correct answer is D: Akathisia. Akathisia is a common side effect of antipsychotic medications characterized by restlessness, inability to sit still, and a feeling of inner restlessness or jitteriness. In this case, the client's constant movement and feeling of nervousness align with the symptoms of akathisia.

A: Akinesia is the opposite of what the client is experiencing, characterized by a lack of movement or muscle weakness.
B: Dystonia involves involuntary muscle contractions and abnormal postures, not constant movement.
C: Dyskinesia refers to abnormal, involuntary movements of the face, trunk, and limbs, which are not described in the scenario.

Which symptom is most closely associated with the onset of anorexia nervosa?

  • A. Excessive eating followed by purging.
  • B. Obsession with calorie intake and extreme weight loss.
  • C. Compulsive exercising to burn calories.
  • D. Binge eating episodes with a lack of control.
Correct Answer: B

Rationale: The correct answer is B because an obsession with calorie intake and extreme weight loss is a hallmark symptom of anorexia nervosa. Individuals with anorexia nervosa typically have a distorted body image and an intense fear of gaining weight. This leads them to restrict their food intake severely, leading to extreme weight loss.

Choice A is incorrect because excessive eating followed by purging is more characteristic of bulimia nervosa, not anorexia nervosa. Choice C is incorrect as compulsive exercising is more commonly associated with another eating disorder called orthorexia nervosa. Choice D is incorrect as binge eating episodes with a lack of control are symptoms of binge eating disorder, not anorexia nervosa.

Copyright © 2025 Nokea. All rights reserved.