Age Specific Patient Care Quizlet

Age Specific Patient Care Quizlet Related

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A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state. He is given several doses of haloperidol (Haldol) and becomes calm and approachable. During rounds the nurse notices the patient has his head rotated to one side in a stiffly fixed position. His lower jaw is thrust forward and he appears severely anxious. The patient has ______, and the nurse should ______.

  • A. a dystonic reaction"¦administer PRN IM benztropine (Cogentin)
  • B. tardive dyskinesia"¦seek a change in the drug or its dosage
  • C. waxy flexibility"¦continue treatment with antipsychotic drugs
  • D. akathisia"¦administer PRN diphenhydramine (Benadryl) PO
Correct Answer: A

Rationale: The correct answer is A: a dystonic reaction"¦administer PRN IM benztropine (Cogentin).

1. Step: Identify the symptoms - The patient has head rotation, stiff fixed position, and lower jaw thrust forward, indicating dystonia.
2. Step: Understand dystonic reactions - Dystonia is an extrapyramidal side effect of antipsychotic medications like haloperidol.
3. Step: Choose appropriate treatment - Benztropine is an anticholinergic medication used to treat acute dystonic reactions.
4. Step: Administer the medication - IM benztropine is the correct route for acute treatment of dystonia.

Summary:
- Choice B (tardive dyskinesia) is incorrect because the symptoms described are acute and not consistent with the gradual onset of tardive dyskinesia.
- Choice C (waxy flexibility) is incorrect because it is a symptom of catatonia, not a side effect of ant

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Which of the following would indicate that a therapeutic activity program for a client with Alzheimer's disease had been successful? Client demonstrates:

  • A. Accurate recent memory, positive emotional response, increased verbal expression
  • B. Increased attention span, verbal expression of remote memory, positive emotional response
  • C. Positive use of perseveration, reduction in use of habitual skills, improved abstract reasoning
  • D. Positive emotional response, ability to remember multiple steps, accurate recent memory
Correct Answer: B

Rationale: The correct answer is B because increased attention span, verbal expression of remote memory, and positive emotional response indicate successful therapeutic program for Alzheimer's client. Attention span and verbal expression show cognitive improvement, while positive emotional response indicates overall well-being. Option A lacks improvement in remote memory. Option C mentions reduction in habitual skills, which is not desirable. Option D emphasizes recent memory and remembering multiple steps, but doesn't cover improvement in attention span or remote memory.

A family discusses the impact of a seriously mental ill member. Insurance partially covered treatment expenses, but the family spent much of their savings for care. The patients sibling says, 'My parents have no time for me.' The parents are concerned that when they are older, there will be no one to care for the patient. Which response by the nurse would be most helpful?

  • A. Acknowledge their concerns and consult with the treatment team about ways to bring the patients symptoms under better control
  • B. Give them names of financial advisors that could help them save or borrow sufficient funds to leave a trust fund to care for their loved one
  • C. Refer them to crisis intervention services to learn ways to manage caregiver stress and provide titles of some helpful books for families
  • D. Discuss benefits of participating in National Alliance on Mental Illness (NAMI) programs and ways to help the patient become more independent
Correct Answer: D

Rationale: The family has raised a number of concerns, but the major issues appear to be the effects caregiving has had on the family and their concerns about the patients future. The National Alliance on Mental Illness (NAMI) offers support, education, resources, and access to other families who have experience with the issues now facing this family. NAMI can help address caregiver burden and planning for the future needs of SMI persons. Improving the patients symptom control and general functioning can help reduce caregiver burden but would likely be a slow process, whereas NAMI involvement could benefit them on a number of fronts, possibly in a shorter time period. The family will need more than financial planning; their issues go beyond financial. The family is distressed but not in crisis. Crisis intervention is not an appropriate resource for the longer-term issues and needs affecting this family.

An example of a Developmental Disorder is:

  • A. ADHD
  • B. Dyslexia
  • C. Mental Retardation
  • D. Autistic spectrum disorders
Correct Answer: D

Rationale: Autistic Spectrum Disorder (ASD): An umbrella term that refers to all disorders that display autistic style symptoms across a wide range of severity and disability.

Which statement by a patient with borderline personality disorder best indicates the treatment plan is helping?

  • A. I think you are the best nurse on the unit.'
  • B. I hate my doctor. He never gives me what I ask for.'
  • C. I feel empty and want to cut myself, so I called you.'
  • D. I'm never going to get high on drugs again.'
Correct Answer: C

Rationale: The correct answer is C. This statement indicates progress because the patient is demonstrating insight into their emotions, seeking help, and utilizing a coping strategy by reaching out for support instead of engaging in self-harm. Choice A does not provide information about progress in treatment. Choice B reflects a negative attitude towards the doctor. Choice D does not offer any insight into the patient's emotional state or progress in managing their behaviors.

A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:

  • A. Appropriately express angry feelings.
  • B. Verbalize two positive things about self.
  • C. Verbalize the importance of eating a balanced diet.
  • D. Identify two alternative methods of coping with loneliness and isolation.
Correct Answer: D

Rationale: The correct answer is D: Identify two alternative methods of coping with loneliness and isolation.

Rationale:
1. The nursing diagnosis is Ineffective coping related to feelings of loneliness and isolation, indicating the patient struggles with coping mechanisms.
2. The desired outcome is for the patient to identify alternative coping methods, which directly addresses the ineffective coping issue.
3. By identifying two alternative methods, the patient demonstrates an understanding of healthier coping strategies.
4. This outcome focuses on addressing the root cause of the behavior (loneliness and isolation) rather than just surface-level expressions or behaviors.

Summary:
A: Appropriately expressing angry feelings does not directly address coping mechanisms related to loneliness and isolation.
B: Verbalizing positive things about oneself is beneficial but does not address the core issue of ineffective coping.
C: Verbalizing the importance of a balanced diet is important but does not directly address coping with loneliness and isolation.

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