Age Specific Care

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A young, newly married adult says, 'My spouse never lets me out of sight. I'm not allowed to do anything on my own, and I'm constantly accused of cheating.' Which nursing communication is most therapeutic for this patient?

  • A. Have you discussed the behavior with your spouse?'
  • B. How does your spouse's behavior make you feel?'
  • C. Are there other examples of controlling behaviors on your spouse's part?'
  • D. Do you feel that your spouse has anything to be upset or suspicious about?'
Correct Answer: B

Rationale: The correct answer is B: "How does your spouse's behavior make you feel?" This question focuses on the patient's emotions, allowing them to express their feelings and validating their experiences. It shows empathy and encourages the patient to explore and understand their own emotional responses to the situation.

Choice A focuses on addressing the behavior directly without acknowledging the patient's emotions. Choice C asks for more examples of controlling behavior, which may feel judgmental. Choice D suggests that the spouse's behavior is justified, which can further invalidate the patient's feelings. Overall, choice B is the most therapeutic as it promotes emotional exploration and support.

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Which of the following statements by a patient with anorexia nervosa indicates a need for further education?

  • A. I want to gain weight, but only if I can stay under 120 pounds.
  • B. I understand that my body weight is dangerously low.
  • C. I know that food is the enemy and I need to avoid it at all costs.
  • D. I am willing to work with my healthcare team to improve my nutrition.
Correct Answer: C

Rationale: The correct answer is C because it indicates a misunderstanding of anorexia nervosa. Patients with anorexia often see food as the enemy, which is a distorted perception. Understanding that food is necessary for nourishment and health is crucial in recovery. Choice A shows an unhealthy weight goal, choice B shows awareness of low weight, and choice D shows willingness to work with the healthcare team, all of which are positive signs.

A victim of a sexual assault sits in the emergency department rocking back and forth. This behavior is characteristic of:

  • A. The acute phase reaction.
  • B. The angry stage of rape.
  • C. Trauma syndrome.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A: The acute phase reaction. This behavior is common in the immediate aftermath of a traumatic event like sexual assault. The victim may exhibit physical and emotional symptoms such as rocking back and forth, confusion, disorientation, and numbness. This reaction is a natural response to the overwhelming stress and trauma experienced. Choice B, the angry stage of rape, is incorrect as it does not capture the immediate post-assault response. Choice C, trauma syndrome, is too vague and does not specifically address the behavior described. Choice D, None of the above, is incorrect as the victim's behavior aligns with the acute phase reaction typically seen in trauma survivors.

When should a child be assessed for a possible attention disorder as the primary condition?

  • A. A 7-year-old who speaks well and reads fluently who cannot complete his work on time and often forgets to hand in his assignments
  • B. A 4-year-old who walks around in class whenever it is time to sit to do colouring. She is not able to use a spoon to feed herself and has trouble drawing straight lines
  • C. A 5-year-old who does not look at you when you call his name and spends his time staring at the wheels of his toy car
  • D. A 6-year-old who reverses the b and d when writing and has trouble sounding out words in print
Correct Answer: A

Rationale: A 7-year-old with good language skills but persistent inattention and forgetfulness suggests ADHD as a primary condition, per DSM-5 criteria, unlike the others who show broader developmental or autism-related concerns.

Discuss six (6) modalities of treatment used in mental illness

  • A. Medication
  • B. Psychotherapy
  • C. ECT
  • D. Lifestyle changes
Correct Answer: A

Rationale: Treatments range from pharmacotherapy and counseling to electroconvulsive therapy, lifestyle adjustments, peer support, and inpatient care.

Which statements most clearly indicate the speaker views mental illness with stigma? Select one tha does not apply.

  • A. We are all a little bit crazy.'
  • B. If people with mental illness would go to church, their problems would be solved.'
  • C. Many mental illnesses are genetically transmitted. Its no ones fault that the illness occurs.'
  • D. People with mental illness are lazy. They get government disability checks instead of working.'
Correct Answer: C

Rationale: Stigma is represented by judgmental remarks that discount the reality and validity of mental illness. It is evidenced in stereotypical statements, by oversimplification, and by multiple other messages of guilt or shame.

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