Health Care Utilization by Age Group

Health Care Utilization by Age Group Related

Review Health Care Utilization by Age Group related questions and content

An elderly woman is brought to the clinic by her daughter. The client states that she has had a cold for several days. Her daughter states that her mother has been confused about when her routine medications are to be taken and that her mother has never experienced confusion about her medications before. Based on this information, it is important that the nurse ask the client whether:

  • A. There is a history of mental illness in the family
  • B. She has been given a diagnosis of a mental health disorder in the past
  • C. She can recall her last visit to a physician
  • D. She has taken any over-the-counter medications for her cold
Correct Answer: D

Rationale: The correct answer is D: She has taken any over-the-counter medications for her cold. It is important for the nurse to ask this question because over-the-counter medications can sometimes interact with prescription medications, leading to confusion or other cognitive issues in elderly patients. By identifying any OTC medications the client has taken, the nurse can assess potential drug interactions that may be contributing to the confusion.

Choices A, B, and C are incorrect. History of mental illness in the family or a previous diagnosis of mental health disorder may not directly address the current issue of confusion related to medication management. Asking about the last visit to a physician is also less relevant compared to inquiring about current medication use for a potential cause of confusion.

You may also like to solve these questions

To help communicate epidemiological trends amongst youth, a family doctor can refer to a typical Secondary School class of 33 students. In explaining to a parent, how many students would you estimate to report clinically significant symptoms of depression in one such class?

  • A. 1
  • B. 4
  • C. 9
  • D. 13
Correct Answer: C

Rationale: Using 27% , 27% of 33 ≈ 9 students, aligning with depression prevalence estimates in Singapore youth.

Which measure is critical to achieving desired outcomes in the nurse-client relationship? The nurse:

  • A. develops trust in the client.
  • B. uses autodiagnosis.
  • C. relies on the client liking the nurse rather than limit-setting to achieve structure.
  • D. analyzes the relationships among biologic, familial, and sociocultural factors that contributed to the client's disorder.
Correct Answer: B

Rationale: The correct answer is B: uses autodiagnosis. Autodiagnosis is critical in the nurse-client relationship as it involves self-awareness and reflection by the nurse to understand their own biases, emotions, and reactions. This self-awareness allows the nurse to effectively manage their responses, maintain professionalism, and provide quality care to the client. By being aware of their own thoughts and feelings, nurses can better empathize with the client, build trust, and communicate effectively. This approach helps prevent potential conflicts and misunderstandings, leading to better outcomes in the nurse-client relationship.

Summary:
A: Developing trust in the client is important but not the most critical measure.
C: Relying on the client liking the nurse is not professional and may compromise boundaries.
D: Analyzing biologic, familial, and sociocultural factors is important but not as critical as self-awareness through autodiagnosis.

A nurse would assess for which feature in a patient diagnosed with bulimia nervosa?

  • A. Introverted personality traits
  • B. Abuse of diuretics and laxatives
  • C. Disinterest in sexual activity
  • D. Denial of hunger at all times
Correct Answer: B

Rationale: The correct answer is B because abuse of diuretics and laxatives is a common behavior in individuals with bulimia nervosa to control weight. This behavior is known as purging. Choice A is incorrect as personality traits vary among individuals with bulimia nervosa. Choice C is incorrect as disinterest in sexual activity is not a typical feature of this disorder. Choice D is incorrect as individuals with bulimia nervosa often experience episodes of binge eating, indicating they do experience hunger at times.

Marty is a 15-year-old boy whose parents have brought him to a mental health clinic for evaluation. They are concerned because his grades have fallen and he has become angry and sometimes even violent. He spends long periods of time alone and does not want to see his friends. The parents report that he has never been a bad boy nor had problems in school. They are worried about the changes in his behavior. Which of the following is the most likely cause?

  • A. Depression
  • B. Running around with a tough crowd
  • C. Normal adolescent phase
  • D. Attention deficit hyperactivity disorder
Correct Answer: A

Rationale: In addition to classic symptoms of depression, adolescents often display irritability and problems in school performance. This is not normal teen behavior. Because Marty has been functioning well in school up until now, it is unlikely that ADHD would be exhibited at this point.

Which nursing intervention has highest priority for a patient with bulimia nervosa?

  • A. Assist the patient to identify triggers to binge eating.
  • B. Provide remedial consequences for weight loss.
  • C. Assess for signs of impulsive eating.
  • D. Explore needs for health teaching.
Correct Answer: A

Rationale: The correct answer is A: Assist the patient to identify triggers to binge eating. The highest priority for a patient with bulimia nervosa is addressing the root cause of the behavior, which is often triggered by emotional or situational factors. By identifying triggers, the patient can learn to recognize and manage them effectively, ultimately reducing the frequency of binge eating episodes. This intervention focuses on addressing the underlying issue and promoting long-term recovery.

Summary:
B: Providing remedial consequences for weight loss is not the priority as the main concern is addressing the binge eating behavior.
C: Assessing for signs of impulsive eating is important, but identifying triggers takes precedence in addressing the behavior.
D: Exploring needs for health teaching may be relevant, but addressing triggers to binge eating is more immediate and crucial for managing bulimia nervosa.

Copyright © 2025 Nokea. All rights reserved.