Population Specific Care

Population Specific Care Related

Review Population Specific Care related questions and content

An adult experienced a myocardial infarction six months ago. At a follow-up visit, this adult says, 'I haven't had much interest in sex since my heart attack. I finished my rehabilitation program, but having sex strains my heart. I don't know if my heart is strong enough.' Which nursing diagnosis applies?

  • A. Deficient knowledge related to faulty perception of health status
  • B. Disturbed self-concept related to required lifestyle changes
  • C. Disturbed body image related to treatment side effects
  • D. Sexual dysfunction related to self-esteem disturbance
Correct Answer: A

Rationale: The correct answer is A: Deficient knowledge related to faulty perception of health status. The patient's statement indicates a lack of understanding about their health status and the impact of their myocardial infarction on their sexual activity. The patient is attributing their decreased interest in sex to a fear of straining their heart, indicating a faulty perception of their health status. This nursing diagnosis addresses the patient's need for education and clarification about their condition to alleviate their concerns and improve their confidence in engaging in sexual activity safely.

Choices B, C, and D are incorrect because they do not directly address the patient's lack of knowledge and faulty perception about their health status. Disturbed self-concept (B) relates more to how the patient perceives themselves due to lifestyle changes, while disturbed body image (C) pertains to physical appearance changes. Sexual dysfunction (D) is related to difficulties in sexual function, which is not the primary issue in this scenario.

You may also like to solve these questions

Which statement by a patient with bulimia nervosa indicates a need for further education?

  • A. I understand that purging can damage my body in the long term.
  • B. I feel better after purging, but I know it's not a healthy behavior.
  • C. I believe I can control my eating and purging behaviors without help.
  • D. I know I need therapy to address my unhealthy relationship with food.
Correct Answer: C

Rationale: Rationale:
Choice C indicates a need for further education because it suggests the patient believes they can manage bulimia without help. Patients with bulimia often require professional intervention for successful treatment. Choices A, B, and D acknowledge the need for therapy, understanding of long-term consequences, and recognition of unhealthy behaviors, respectively.

A nurse is providing care for a patient diagnosed with bulimia nervosa. What is a priority nursing intervention?

  • A. Encourage regular exercise to promote weight loss.
  • B. Provide a calm, structured environment with consistent mealtimes.
  • C. Focus on weight loss as the most important goal.
  • D. Offer the patient a high-protein diet to restore health.
Correct Answer: B

Rationale: The correct answer is B: Provide a calm, structured environment with consistent mealtimes. This is the priority intervention because individuals with bulimia nervosa benefit from a stable and supportive environment to establish regular eating patterns and reduce anxiety around mealtimes. This intervention helps promote a sense of safety and predictability, which are crucial for managing the eating disorder. Encouraging regular exercise (Choice A) may exacerbate compulsive behaviors related to bulimia. Weight loss (Choice C) should not be the focus as it can worsen the patient's condition. Offering a high-protein diet (Choice D) may not address the underlying psychological issues associated with bulimia.

In Singapore, MSF-funded disability services for preschool children:

  • A. Serve those with congenital, physical, sensory, developmental, and behavioural disorders
  • B. Are all centre-based
  • C. Provided by charity and public hospitals only
  • D. Are overseen by the Early Childhood Developmental Agency (EDCA)
Correct Answer: A

Rationale: MSF-funded services cover a broad range of disabilities in preschoolers, aligning with Singapore's inclusive disability framework.

A nurse is caring for a patient who is confused, disoriented in all three spheres, and experiencing visual hallucinations. While preparing to provide personal care, the nurse should:

  • A. ask the patient, "Do you remember who I am?"
  • B. speak minimally so as not to disturb the patient.
  • C. pat the patient on the forearm and say, "Let's get started."
  • D. explain to the patient what will happen during the care.
Correct Answer: D

Rationale: The correct answer is D because explaining to the patient what will happen during care is essential to provide a sense of orientation and reduce anxiety in a confused patient. This approach helps the patient understand the situation and feel more in control, which can decrease agitation. Choice A is incorrect as the patient's memory deficit may lead to further confusion. Choice B is incorrect as minimal communication may not address the patient's needs. Choice C is incorrect as physical touch without explanation may escalate the patient's hallucinations.

A patient with anorexia nervosa is treated as an outpatient. Select the desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements. Within 1 week, the patient will:

  • A. Gain 1 to 2 pounds.
  • B. Exercise 1 hour daily.
  • C. Take a laxative every 3 days.
  • D. Weigh self accurately using balanced scales.
Correct Answer: A

Rationale: The correct answer is A: Gain 1 to 2 pounds. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). In anorexia nervosa, gaining weight is crucial for recovery. Weight gain indicates improved nutritional status and overall health. Option B is incorrect as excessive exercise can exacerbate the patient's condition. Option C is incorrect as laxative use is not a recommended treatment for anorexia nervosa. Option D is incorrect as self-weighing may lead to obsessive behavior in patients with eating disorders.

Copyright © 2025 Nokea. All rights reserved.