Age Specific Populations

Age Specific Populations Related

Review Age Specific Populations 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 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. None of the above.
Correct Answer: A

Rationale: The correct answer is A: There is a history of mental illness in the family. This is important because the sudden onset of confusion in an elderly person could be indicative of a new mental health issue or cognitive decline. Asking about a family history of mental illness can provide valuable insights into potential genetic predispositions or underlying conditions that may be contributing to the client's confusion.

Choices B and C are incorrect because the client's own history of mental health diagnosis or ability to recall a physician visit are not directly related to the sudden onset of confusion. Choice D is incorrect because asking about a family history of mental illness could provide crucial information in understanding the client's current condition.

You may also like to solve these questions

Diet, exercise and establishing a regular sleep cycle are all effective treatments for many mental disorders in teenagers

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

Rationale: Lifestyle interventions like diet, exercise, and sleep hygiene are evidence-based adjuncts for managing many mental disorders.

Which of the following is an example of a peri-natal cause of intellectual disability when there is a significant period without oxygen occurring during or immediately after delivery?

  • A. Anoxia
  • B. Pronoxia
  • C. Anaphylaxia
  • D. Dysnoxia
Correct Answer: A

Rationale: Anoxia: A peri-natal cause of intellectual disability due to a significant period without oxygen during or after delivery.

The plan of care for a patient who has demonstrated outbursts of physical violence against his family when frustrated, followed by periods of remorse after each outburst, would be considered successful when the patient:

  • A. Expresses frustration verbally instead of physically.
  • B. Agrees to seek group counseling at a future time.
  • C. Explains the reason for his behavior toward the victim.
  • D. Identifies three personal strengths and coping strategies.
Correct Answer: A

Rationale: The correct answer is A because expressing frustration verbally instead of physically shows progress in managing emotions constructively. This approach helps prevent harm and promotes effective communication. Choice B doesn't address immediate behavior change. Choice C focuses on explaining behavior rather than changing it. Choice D is more about self-awareness and coping strategies, which is important but doesn't directly address the violent behavior.

A primigravida patient at 34 weeks gestation presents with a history of not having felt fetal movements for 24 hours. Which one of the following statements is most appropriate?

  • A. She probably has an intra-uterine fetal death.
  • B. You should immediately arrange transfer to labour ward for early induction labour, providing the baby is still alive.
  • C. She should have urgent antenatal cardiotocography (CTG).
  • D. She should have an ultrasound scan.
Correct Answer: C

Rationale: Absent fetal movements at 34 weeks require urgent assessment. CTG (C) is the fastest way to check fetal heart rate and well-being. Presuming death (A), inducing without confirmation (B), or slower methods (D, E) are less appropriate initially.

A rape victim asks a nurse, "How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?

  • A. Support the victim to separate issues of vulnerability from blame.
  • B. Make decisions for the victim because of the temporary confusion.
  • C. Reassure the victim that the outcome of the situation will be positive.
  • D. Pose questions about the rape and help the patient explore why it happened.
Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy and understanding towards the victim by helping them differentiate between vulnerability and blame. By supporting the victim in separating these issues, the nurse can empower them to recognize that the assault was not their fault, thus promoting healing and recovery.

Choice B is incorrect because making decisions for the victim undermines their autonomy and does not address the victim's emotional needs.

Choice C is incorrect as it offers false reassurance and does not address the victim's feelings of guilt or self-blame.

Choice D is incorrect as it may come off as interrogative and could potentially retraumatize the victim by making them feel responsible for the assault.

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