Age Specific Care Quiz

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A worker is characterized by her co-workers as 'painfully shy' and lacking in self-confidence. Her co-workers say she stays in her cubicle all day, never coming out for breaks or lunch. One day after falling on the ice in the parking lot, she goes to the nurse's office, where she apologizes for falling and mentions that she hopes the company will not fire her for being so clumsy. Which nursing approach or response would be most therapeutic?

  • A. Remain professional and a bit detached so as not to arouse suspiciousness on her part.
  • B. Reassure her that many others have fallen at work and not ever been criticized or fired.
  • C. Acknowledge her concerns in a matter-of-fact manner and provide first aid as needed.
  • D. Explain that an incident report about her fall will go to a manager who will contact her.
Correct Answer: B

Rationale: The correct answer is B because it focuses on reassurance and empathy, which are important in therapeutic communication. By reassuring the worker that others have fallen without facing negative consequences, the nurse is validating her feelings and reducing her anxiety. This approach helps build trust and rapport, essential for effective communication and support.

Choices A, C, and D are incorrect because they do not address the worker's emotional needs or provide the reassurance she requires. Option A suggests remaining detached, which may come across as uncaring. Option C focuses solely on providing first aid and does not acknowledge the worker's concerns. Option D introduces the fear of potential consequences without providing any reassurance or emotional support, which could increase the worker's anxiety.

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Which is the most appropriate response when a patient with bulimia nervosa expresses feelings of shame about their purging behaviors?

  • A. Encourage the patient to avoid discussing their eating habits.
  • B. Agree with the patient's feelings and offer reassurance.
  • C. Focus on helping the patient identify triggers for purging behaviors.
  • D. Provide education on the benefits of purging for weight management.
Correct Answer: C

Rationale: The correct answer is C because focusing on helping the patient identify triggers for purging behaviors is essential in addressing the underlying issues contributing to their behavior. By identifying triggers, the patient can develop coping strategies and alternative behaviors.

Choice A is incorrect as avoiding discussing eating habits can hinder progress in therapy. Choice B is incorrect as simply agreeing and offering reassurance without addressing the root cause may not lead to lasting change. Choice D is incorrect as it promotes the harmful behavior of purging for weight management, which goes against the goal of treating bulimia nervosa.

A client, age 42, has been battered by her husband since they were married 8 years ago. Until this hospitalization for major depression, she had avoided dealing with her situation, but she now expresses a desire to deal with the problem. The attacks are occurring more often. Which outcome is realistic for the client?

  • A. Citing possible ways she may have contributed to the abusive episodes
  • B. Verbalizing an awareness of her increasingly dangerous situation
  • C. Setting a goal date for divorcing her husband
  • D. Employing methods of retaliating in order to get even with her husband
Correct Answer: B

Rationale: The correct answer is B: Verbalizing an awareness of her increasingly dangerous situation. This choice is the most realistic outcome for the client as it shows an initial step towards acknowledging the severity of her situation. By verbalizing awareness, the client can begin to understand the potential dangers she faces, which is crucial for developing a safety plan and seeking appropriate help.

Choice A is incorrect as it may lead to victim-blaming and does not address the root cause of the abuse. Choice C is premature as setting a goal date for divorcing her husband requires careful planning and consideration of various factors. Choice D is inappropriate as retaliation can escalate the violence and put the client at further risk.

In summary, choice B is the best option as it focuses on increasing the client's awareness of her situation, which is a crucial first step towards addressing and eventually overcoming the abusive relationship.

Which behavior would the nurse expect to observe in a person who commits psychic rape?

  • A. The perpetrator gives money to the patient after the rape.
  • B. The perpetrator seduces the patient by providing wine, flowers, and music.
  • C. The perpetrator threatens the patient to submit or else be severely beaten.
  • D. The perpetrator mentions always including violent bondage in sexual activities.
Correct Answer: D

Rationale: The correct answer is D because mentioning violent bondage in sexual activities indicates a pattern of behavior associated with psychic rape, where the perpetrator exerts control and inflicts harm on the victim. This choice aligns with the power dynamics and manipulation typically seen in cases of psychic rape.

A: Giving money after the rape does not necessarily indicate psychic rape and is more characteristic of bribery or transactional behavior.
B: Seduction with wine, flowers, and music may indicate manipulation but does not specifically relate to the psychological violation inherent in psychic rape.
C: Threatening the patient with violence is a form of physical coercion rather than psychic rape, which involves psychological manipulation and violation.

When a psychiatric technician questions the nurse about comorbidity of eating disorders, which Axis I disorder would the nurse say is most commonly seen in clients with bulimia and anorexia nervosa?

  • A. Anxiety disorders.
  • B. Depressive disorders.
  • C. Dissociative disorders.
  • D. Somatoform disorders.
Correct Answer: B

Rationale: The correct answer is B: Depressive disorders. Depression is commonly seen in clients with bulimia and anorexia nervosa due to the psychological and emotional struggles associated with these eating disorders. Individuals may experience feelings of worthlessness, hopelessness, and sadness, contributing to depressive symptoms. This comorbidity is well-documented in clinical research. Anxiety disorders (Choice A), dissociative disorders (Choice C), and somatoform disorders (Choice D) are less commonly associated with eating disorders compared to depressive disorders, making them incorrect choices in this context.

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.

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