Health Care Utilization by Age Group

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A patient with schizophrenia has been stabilized in the Crisis Center and is about to be discharged. He will be living with his family, but the family knows nothing about the patient's illness, its treatment, or the role they can play in his recovery. Which activity would be most beneficial for the family to attend?

  • A. Psychoanalytic group
  • B. Psychoeducational group
  • C. Individual counseling
  • D. Family therapy
Correct Answer: B

Rationale: The correct answer is B: Psychoeducational group. This option is most beneficial as it will provide the family with education about schizophrenia, its treatment, and the role they can play in the patient's recovery. This will help the family better understand the illness, how to support the patient, and how to communicate effectively.

Explanation:
1. Psychoanalytic group (A) focuses on exploring unconscious thoughts and emotions, which may not be as practical or helpful for educating the family about schizophrenia.
2. Individual counseling (C) may not involve the family as a whole and may not provide the necessary education and support for the family unit.
3. Family therapy (D) could be beneficial, but psychoeducational group specifically targets providing knowledge and skills needed to support the patient's recovery, making it the most appropriate choice in this scenario.

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In the powerpoint activity for this lesson, you witnessed photographs of typical weekly food consumptions for families in various countries. Which country depicted a photograph of a family who consumed the LEAST amount of fruits and vegetables and the MOST amount of processed food?

  • A. Germany
  • B. Poland
  • C. Chad
  • D. United States
Correct Answer: D

Rationale: The United States is often depicted with diets high in processed foods and low in fruits and vegetables, reflecting modern consumption patterns.

Reading Disorder is a developmental disorder and is characterised by reading achievement (e.g. accuracy, speed and comprehension) being significantly below standards expected for which of the following

  • A. Chronological age
  • B. IQ
  • C. Schooling experience.
  • D. All of the above
Correct Answer: D

Rationale: Reading Disorder: A specific learning disability characterised by the accuracy, speed and comprehension of reading being significantly below standards expected for chronological age and IQ.

The client tells the nurse, 'I thought my psychiatrist was the best doctor in the world. I thought he understood me completely. Now, I hate him! He doesn't understand me at all. He's just dumping me to go on a 2-week vacation.' The nurse assesses the client's description of feelings about the physician as evidence of the use of:

  • A. Splitting
  • B. Projective identification
  • C. Isolation of affect
  • D. Dissociation
Correct Answer: A

Rationale: The correct answer is A: Splitting. Splitting is a defense mechanism where a person sees things as all good or all bad, leading to extreme shifts in perception. In this case, the client initially viewed the psychiatrist as the best doctor but now hates him completely due to feeling abandoned. This sudden shift from idealization to devaluation is characteristic of splitting.

Choice B: Projective identification involves attributing one's own unacceptable feelings or traits onto another. This is not evident in the client's description.

Choice C: Isolation of affect refers to separating emotions from their source. The client is expressing strong emotions towards the psychiatrist, not isolating them.

Choice D: Dissociation involves a disruption in consciousness, memory, identity, or perception. The client is not displaying symptoms of dissociation in this scenario.

To plan effective interventions, the nurse should understand that the underlying reason a patient with paranoid personality disorder is so critical of others probably lies in the patient's:

  • A. need to control all aspects of the world around him.
  • B. use of intellectualization to protect against anxiety.
  • C. inflexible view of the environment and the people in it.
  • D. projection of blame for his own shortcomings onto others.
Correct Answer: D

Rationale: The correct answer is D because paranoid personality disorder is characterized by distrust and suspicion of others, leading individuals to project their own negative traits onto others (projection). This defense mechanism helps them avoid accepting their own shortcomings. Option A is incorrect because the focus is on control, not blame. Option B is incorrect as intellectualization is a defense mechanism that involves avoiding emotions by focusing on rational aspects. Option C is incorrect as it refers to rigidity and not projection of blame. In summary, projection of blame onto others is the underlying reason for the critical behavior in paranoid personality disorder.

A nurse assessing an elderly patient for depression and suicide potential should include questions about mood as well as: (Select one tha does not apply)

  • A. anhedonia.
  • B. increased appetite.
  • C. sleep pattern changes.
  • D. increased concerns with bodily functions.
Correct Answer: B

Rationale: The correct responses (A, C, E) relate to symptoms often noted in elderly patients with depression: anhedonia (loss of pleasure), sleep changes, and somatic concerns. Increased appetite (B) is less typical than anorexia, and grandiosity (D) relates to bipolar disorder, not depression.

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