Age Specific Care Quiz

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A psychiatric technician mentions to the nurse, 'All these clients with Axis II problems! It makes me wonder how so many mothers could have been such poor parents and messed up their kids so badly!' The response by the nurse that helps put the development of personality disorders into perspective is:

  • A. Parenting is the responsibility of fathers, too, so don't blame only mothers.'
  • B. Personality disorder is often related to sexual abuse that occurs without parental knowledge.'
  • C. There is some evidence to suggest a biologic component to personality disorders.'
  • D. Peer interactions may be more important in child development than parental involvement.'
Correct Answer: C

Rationale: Step-by-step rationale for correct answer (C):
1. Personality disorders are complex and have multifactorial causes.
2. Research suggests a biological component to personality disorders, such as genetic predispositions.
3. This understanding helps to shift the blame away from solely poor parenting.
4. It aligns with the biopsychosocial model, which considers biological, psychological, and social factors.
5. This response promotes a holistic view of personality development.

Summary of why other choices are incorrect:
A: Shifts focus to gender roles, which is not directly relevant to the etiology of personality disorders.
B: Narrowly associates personality disorders with sexual abuse, ignoring other contributing factors.
D: Overemphasizes peer interactions over parental influence, which is not supported by extensive research on personality development.

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A patient living independently had command hallucinations to shout warnings to neighbors. After a short hospitalization, the patient was prohibited from returning to the apartment. The landlord said, 'You cause too much trouble.' What problem is the patient experiencing?

  • A. Grief
  • B. Stigma
  • C. Homelessness
  • D. Nonadherence
Correct Answer: B

Rationale: The inability to obtain shelter because of negative attitudes about mental illness is an example of stigma. Stigma is defined as damage to reputation, shame, and ridicule society places on mental illness. Data are not present to identify grief as a patient problem. Data do not suggest that the patient is actually homeless.

Why did the risk of acquiring disease decrease for people living in cities since the 1850's?

  • A. The 'sanitation revolution' improved the water supplies
  • B. Urban residents received more regular vaccinations
  • C. Antibiotics were more readily used
  • D. All of the above
Correct Answer: D

Rationale: The sanitation revolution, along with vaccinations and antibiotics, collectively reduced disease risk in cities since the 1850s.

A child, age 5, was admitted to the children's unit, having been sexually abused by an acquaintance of her family. The child refuses to talk and participate in unit activities, choosing to stay in her room with her stuffed animals. Which therapeutic intervention will best help the child release pent-up feelings about the abuse?

  • A. Individual communication with the nurse
  • B. Play therapy
  • C. Family therapy
  • D. Role-play with other children on the unit
Correct Answer: B

Rationale: The correct answer is B: Play therapy. Play therapy is the most suitable therapeutic intervention for a child in this scenario because it allows the child to express their feelings and experiences through play, which is a natural form of communication for children. Through play therapy, the child can act out their experiences using toys and create a safe space to process their emotions without having to verbally communicate. It helps the child release pent-up feelings and trauma in a non-threatening environment.

Summary of other choices:
A: Individual communication with the nurse may not be as effective as play therapy in this case as the child is not yet comfortable verbalizing their feelings.
C: Family therapy may not be appropriate at this stage as the child is not ready to engage with family members about the abuse.
D: Role-play with other children on the unit may not be beneficial as it can potentially trigger more anxiety and discomfort for the abused child.

A mother discusses her concerns about genetic transmission of schizophrenia with the nurse saying, 'My son is a fraternal twin. He has been diagnosed with schizophrenia. Will my other son develop schizophrenia, too?' The response that is both sensitive and shows understanding of the genetic component is:

  • A. You poor woman! I wish I could tell you he will be free of the disorder.'
  • B. Studies show that 50% of twins develop schizophrenia when it is present in the other twin.'
  • C. No one can say what will happen, so we will hope for the best for you and your sons.'
  • D. In fraternal twins, the chance of the other twin developing the disorder is quite small.'
Correct Answer: D

Rationale: The correct answer is D because it provides an accurate and sensitive response. Fraternal twins do not share the exact genetic makeup, so the chance of the other twin developing schizophrenia is lower compared to identical twins. This response acknowledges the genetic component of schizophrenia while also offering reassurance based on the understanding of genetic transmission.

Choices A and C are incorrect because they do not provide accurate information about the genetic risk of schizophrenia in fraternal twins and may not offer the mother a clear understanding of the situation. Choice B is incorrect as it provides a generalized statistic for identical twins, not fraternal twins, which could lead to unnecessary anxiety for the mother.

Which of the following best describes a social gambler

  • A. Someone who gambles for the heightened thrill and needs higher bets to achieve the same feeling
  • B. Gambles for fun during New Year gatherings
  • C. Believes gambling is a way to make money, similar to financial investment
  • D. Steals money to feed the gambling habit
Correct Answer: B

Rationale: A social gambler engages in gambling recreationally, such as during social events like New Year gatherings, without dependency.

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