Age Specific Patient Care

Age Specific Patient Care Related

Review Age Specific Patient Care related questions and content

An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, "I like the style." The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?

  • A. Eating disorder not otherwise specified
  • B. Anorexia nervosa
  • C. Bulimia nervosa
  • D. Binge eating
Correct Answer: B

Rationale: The correct diagnosis is B: Anorexia nervosa. This patient exhibits key symptoms such as restrictive eating leading to significant weight loss, wearing layers of clothing to hide body shape, and amenorrhea. These symptoms align with the diagnostic criteria for anorexia nervosa. The other choices are incorrect because they do not fully capture the combination of symptoms present in this case. Choice A (Eating disorder not otherwise specified) is too broad and does not specify the severity of the symptoms. Choice C (Bulimia nervosa) typically involves binge eating followed by compensatory behaviors, which is not indicated in this case. Choice D (Binge eating) focuses solely on overeating without the restrictive eating and weight loss seen in anorexia nervosa.

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An adolescent patient is diagnosed with dementia. The patient's age would cause a nurse to suspect which underlying condition sometimes associated with this diagnosis?

  • A. Head trauma
  • B. Neurosyphilis
  • C. Pick disease
  • D. Hypothyroidism
Correct Answer: A

Rationale: The correct answer is A: Head trauma. Adolescents are less likely to develop dementia due to age-related neurodegenerative diseases. Head trauma can lead to cognitive impairment and memory loss, mimicking symptoms of dementia. Neurosyphilis is a sexually transmitted infection affecting the brain, not common in adolescents. Pick disease is a rare neurodegenerative disorder more commonly seen in older adults. Hypothyroidism can cause cognitive symptoms but is not typically associated with dementia in adolescents.

Which data gathered from the assessment of a family with a schizophrenic member would be of greatest importance in discharge planning for the patient?

  • A. The patient is the middle sibling.
  • B. The patient's mother is a talented artist.
  • C. The patient's paternal grandfather was considered 'eccentric.'
  • D. The patient becomes anxious when family members are critical of one another.
Correct Answer: D

Rationale: The correct answer is D because understanding how the patient reacts to family dynamics is crucial for discharge planning. Anxiety triggered by family conflict can impact the patient's well-being post-discharge. Choices A, B, and C are less relevant as they do not directly address the patient's immediate needs or potential stressors. Middle sibling status, maternal artistic talent, and paternal grandfather's eccentricity are interesting but not as directly impactful on the patient's discharge planning compared to the patient's response to family conflicts.

People with Mania experience strange feelings of grandiosity

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: Mania often includes grandiosity, such as believing one has special powers or status.

The nurse is interviewing a client who presents with a dislocated shoulder. She demonstrates signs of anxiety and poor eye contact and turns to her partner for answers, allowing him to speak for her. The nurse asks the partner to go to the admitting office to give insurance information. While the partner is out of the room, which question is most important to ask?

  • A. How did the shoulder dislocation occur?'
  • B. Do you feel safe at home?'
  • C. Have you ever been injured before?'
  • D. None of the above.
Correct Answer: A

Rationale: Step 1: By asking how the shoulder dislocation occurred, the nurse can assess the mechanism of injury and potential risk factors for further harm.
Step 2: Understanding the cause can guide treatment decisions and prevent future injuries.
Step 3: This question is crucial for providing appropriate care and ensuring the client's safety.
Summary: Option A is the correct answer as it directly relates to the client's current condition and allows the nurse to gather essential information for effective care. Options B and C are not as pertinent at this moment, and option D is incorrect as gathering information from the client is essential in this situation.

Which information would be of greatest assistance to a nurse assessing a patient's motivation to change behavior associated with maladaptive eating regulation responses?

  • A. The number, on a scale of 1 to 10, that reflects the patient's desire for treatment.
  • B. The name of a person the patient feels he or she can rely on for emotional support.
  • C. The advantages the patient identifies as motivation for controlling the maladaptive behavior.
  • D. The reasons the patient identifies as the factors that originally caused the maladaptive behavior.
Correct Answer: A

Rationale: The correct answer is A because assessing the patient's desire for treatment provides insight into their readiness and motivation to change behavior. This information indicates their willingness to engage in the treatment process and is a key factor in predicting behavior change.

Option B is incorrect because relying on emotional support may not necessarily reflect the patient's motivation to change their behavior. Option C is incorrect as identifying advantages for controlling maladaptive behavior does not directly address the patient's motivation level. Option D is incorrect because understanding the factors that caused the behavior does not necessarily indicate the patient's current motivation to change.

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