Age Specific Populations

Age Specific Populations Related

Review Age Specific Populations 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 answer is B: Anorexia nervosa. This diagnosis fits the patient's symptoms of restrictive eating, significant weight loss, amenorrhea, and denial of the severity of the situation. The patient's behavior of cooking gourmet meals but eating tiny portions and wearing layers of clothes to hide weight loss are classic signs of anorexia nervosa. The other choices are incorrect because:
A: Eating disorder not otherwise specified does not fully capture the severity and specific symptoms exhibited by the patient.
C: Bulimia nervosa involves binge-eating followed by compensatory behaviors, which are not described in the scenario.
D: Binge eating disorder involves recurrent episodes of binge eating without compensatory behaviors, which is not indicated.

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The nurse reports to the interdisciplinary team that an antisocial patient lies to other patients, verbally abuses a patient with Alzheimer's disease, flatters his primary nurse, and is detached and superficial during counseling sessions. Which behavior should be the priority focus of limit setting?

  • A. Lying to other patients
  • B. Flattering the nursing staff
  • C. Verbally abusing other patients
  • D. Superficiality during counseling
Correct Answer: C

Rationale: The correct answer is C: Verbally abusing other patients should be the priority focus of limit setting. This behavior poses a direct threat to the safety and well-being of other patients. By addressing verbal abuse first, the nurse can establish boundaries and maintain a safe environment for all patients. Lying to other patients (A) may be addressed but is not as immediate a concern. Flattering the nursing staff (B) is manipulative but not as harmful as verbal abuse. Superficiality during counseling sessions (D) may indicate other issues but is not as urgent as addressing the verbal abuse.

A patient was admitted in a semistuporous catatonic state. Family states that the patient has neither left the apartment nor attended to personal hygiene for several weeks. The patient's last 48 hours have been spent lying in bed, mute and motionless. The nursing diagnosis that should be considered the priority is:

  • A. self-care deficit.
  • B. situational low self-esteem.
  • C. disturbed thought processes.
  • D. impaired verbal communication.
Correct Answer: A

Rationale: The correct answer is A: self-care deficit. This nursing diagnosis should be considered the priority because the patient is unable to attend to personal hygiene and has been lying in bed motionless and mute for 48 hours, indicating a significant impairment in self-care abilities. This is a critical issue that needs immediate attention to prevent further deterioration in the patient's physical and mental health.

Choice B: situational low self-esteem is not the priority as the patient's current state is more indicative of physical neglect rather than a self-esteem issue.

Choice C: disturbed thought processes may be a contributing factor to the patient's presentation, but the priority at this moment is addressing the self-care deficit to ensure the patient's safety and well-being.

Choice D: impaired verbal communication, while important, is not the priority in this scenario as the patient's inability to communicate verbally is secondary to the urgent need for assistance with self-care.

You are a nurse meeting for the first time with a stage 3 Alzheimer's patient who is newly referred to your home health agency. Which assessment data about the patient and caregiver(s) would be most important to acquire during your first visit to the family's home?

  • A. Is the house design such that patient access to exits and stairways can be restricted?
  • B. Does the family understand that the disease is likely to prove fatal within 3 to 5 years?
  • C. What resources is the patient's family able to access in their particular community?
  • D. None of the above.
Correct Answer: A

Rationale: Step-by-step rationale:
1. Ensuring patient safety is a top priority, especially for a stage 3 Alzheimer's patient.
2. Restricting access to exits and stairways can prevent wandering and potential accidents.
3. This assessment is crucial for creating a safe environment for the patient.
4. Understanding the house design is essential for implementing appropriate safety measures.

Summary of other choices:
B. Understanding the prognosis is important but not as immediately critical as ensuring patient safety.
C. Knowing community resources is valuable but not as urgent as addressing safety concerns.
D. This choice is incorrect as assessing the house design for safety is crucial in this scenario.

Which of the following medical conditions can produce a mild neurocognitive disorder and mild impairments in social/occupational functioning?

  • A. Parkinson's disease
  • B. Huntington's disease
  • C. Creutzfeldt-Jakob disease
  • D. HIV
Correct Answer: D

Rationale: HIV can cause mild neurocognitive disorder via brain inflammation, affecting daily functioning.

A rare condition in which separate personalities exist in the same person is called

  • A. dissociative identity disorder
  • B. split personality
  • C. schizophrenia
  • D. amnesia
Correct Answer: A

Rationale: Dissociative identity disorder involves multiple distinct identities, distinguishing it from schizophrenia or amnesia.

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