Age Specific Care Quiz

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A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, 'Sure I overbilled. Why not? Everybody takes advantage of the government. They have too many rules. No one can abide by all of them.' These statements can be assessed as showing:

  • A. glibness and charm.
  • B. superficial remorse.
  • C. lack of guilt feelings.
  • D. excessive suspiciousness.
Correct Answer: C

Rationale: The correct answer is C: lack of guilt feelings. The physical therapist's statements indicate a lack of remorse or guilt about committing Medicare fraud. He minimizes his actions and justifies them by blaming the government's rules. This demonstrates a lack of ethical responsibility and empathy for the consequences of his fraudulent behavior.

A: Glibness and charm typically involve being smooth-talking and charismatic, which is not evident in the therapist's statements.
B: Superficial remorse would imply some level of acknowledgment of wrongdoing, which is not present in the therapist's justifications.
D: Excessive suspiciousness refers to unfounded mistrust or paranoia, which is not demonstrated in the therapist's statements.

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The mother of a teen with an eating disorder tells the nurse, 'Our family is pretty well-adjusted. It's hard for me to imagine what we could have done to have this happen.' The nurse can promote more complete understanding of the etiology of eating disorders by mentioning that young women are also influenced by:

  • A. The abundance of nutritious foods available.
  • B. The fashion industry's idealization of thinness.
  • C. Competition in the workplace.
  • D. None of the above.
Correct Answer: B

Rationale: The correct answer is B: The fashion industry's idealization of thinness. This is correct because the portrayal of ultra-thin models in the fashion industry can contribute to societal pressure on young women to achieve an unrealistic body image, leading to body dissatisfaction and potentially eating disorders. The other choices are incorrect because option A does not address the societal influences on body image ideals, option C is not directly related to the etiology of eating disorders in young women, and option D is incorrect as the fashion industry can indeed play a significant role in shaping perceptions of beauty and body image.

A nurse is caring for a patient with bulimia nervosa. What is a priority assessment for this patient?

  • A. Electrolyte imbalances and cardiac function.
  • B. Body image issues and mental health status.
  • C. Nutritional status and hydration levels.
  • D. Weight changes and exercise patterns.
Correct Answer: A

Rationale: The correct answer is A: Electrolyte imbalances and cardiac function. This is because patients with bulimia nervosa often engage in purging behaviors which can lead to electrolyte imbalances and cardiac complications. Assessing electrolyte levels and cardiac function is crucial to prevent life-threatening complications.

Choice B is incorrect because while body image and mental health are important considerations, they are not the priority assessment in this case. Choice C is also incorrect as nutritional status and hydration levels can be affected, but not as immediately life-threatening as electrolyte imbalances and cardiac issues. Choice D is incorrect as weight changes and exercise patterns may be important, but they are not the priority assessment for a patient with bulimia nervosa.

Which of the following is not a common characteristic of oppositional behaviour?

  • A. Saying no to requests
  • B. Accepting responsibility for mistakes
  • C. Unwilling to accept changes to routines or environments
  • D. Refusing to follow instructions
Correct Answer: B

Rationale: Accepting responsibility for mistakes is not typical of oppositional behavior, which often involves defiance and blame-shifting.

After a rape victim visited a rape crisis counselor weekly for 8 weeks, which finding best demonstrates that reorganization was successful?

  • A. Absence of signs or symptoms of posttraumatic stress disorder
  • B. Presence of mild somatic reactions
  • C. Moderate doubts about self-worth
  • D. Occasional episodic nightmares
Correct Answer: A

Rationale: The correct answer is A because the absence of signs or symptoms of posttraumatic stress disorder indicates successful reorganization after therapy. This demonstrates that the victim has effectively processed and coped with the trauma. Choice B indicates lingering somatic reactions, C suggests ongoing self-esteem issues, and D implies unresolved trauma manifesting in nightmares, all of which do not reflect successful reorganization.

A patient was abducted and raped at gunpoint by an unknown assailant. Which nursing interventions are appropriate while caring for the patient in the emergency department? Select all that apply.

  • A. Allow the patient to talk at a comfortable pace.
  • B. Place the patient in a private room with a caregiver.
  • C. Pose questions in nonjudgmental, empathetic ways.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A: Allow the patient to talk at a comfortable pace. This intervention is appropriate because it promotes the patient's autonomy and empowerment in sharing their experience, which can be therapeutic. It also helps establish trust and rapport, facilitating effective communication and assessment.

Incorrect choices:
B: Placing the patient in a private room with a caregiver can be important for privacy and support but may not be the immediate priority.
C: Posing questions in nonjudgmental, empathetic ways is crucial but may not be as important as allowing the patient to talk at their own pace initially.
D: None of the above is incorrect as allowing the patient to talk is a crucial step in providing appropriate care for a patient who has experienced trauma.

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