Age Specific Patient Care Quizlet

Age Specific Patient Care Quizlet Related

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At 11:00 AM, a patient with schizophrenia who exhibits concrete thinking asks the nurse for PRN acetaminophen (Tylenol). However, he last had it at 8:00 AM, and it is ordered only every 4 hours. Which nursing response would be most therapeutic?

  • A. I'm sorry, it's not quite time yet; please come back again in 1 hour.'
  • B. I'm sorry, it's not quite time yet; please come back again at 12 noon.'
  • C. It's not time yet; please come back when both hands of the clock point straight up.'
  • D. It's not time yet; I will let you know when it is time. Perhaps a nap would help?'
Correct Answer: C

Rationale: The correct answer is C because it provides a clear, concrete instruction that the patient can easily understand. By stating "come back when both hands of the clock point straight up," the nurse offers a specific and visual cue for the patient to know when it's time for the medication. This approach aligns with the patient's concrete thinking and helps him grasp the concept of time more effectively.

Choice A is incorrect because stating "in 1 hour" may be too abstract for a patient with concrete thinking. Choice B is also incorrect as it provides a general time frame without a visual reference, which may confuse the patient. Choice D is incorrect as suggesting a nap does not address the patient's request for medication and does not provide a clear time frame.

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A woman consults the nurse practitioner because she has not achieved orgasm for 2 years, despite having been sexually active. This is an example of

  • A. Paraphilic disorder.
  • B. Female orgasmic disorder.
  • C. Genito-pelvic pain/penetration disorder.
  • D. Female sexual interest/arousal disorder.
Correct Answer: B

Rationale: The correct answer is B: Female orgasmic disorder. This woman's inability to achieve orgasm despite being sexually active aligns with the diagnostic criteria for Female Orgasmic Disorder in the DSM-5. This disorder is characterized by a marked delay, absence, or decreased intensity of orgasm, which causes distress or interpersonal difficulty. Other choices are incorrect because Paraphilic Disorder refers to atypical sexual interests, Genito-pelvic pain/penetration disorder involves pain during intercourse, and Female Sexual Interest/Arousal Disorder pertains to lack of interest in or arousal during sexual activity.

A patient with anorexia nervosa begins to refuse food. The nurse should first:

  • A. Speak with the patient's family about the refusal.
  • B. Focus on the patient's emotional distress and discuss it.
  • C. Redirect the patient to a different activity to distract them.
  • D. Encourage the patient to eat a small, manageable portion of food.
Correct Answer: D

Rationale: The correct answer is D because encouraging the patient to eat a small, manageable portion of food is the most immediate and vital intervention in addressing the patient's refusal to eat. This step is crucial in preventing further complications associated with anorexia nervosa, such as malnutrition and dehydration. By starting with a small portion, the patient can gradually reintroduce food and begin the process of recovery.

A: Speaking with the family may be important but not the first step in addressing the patient's refusal to eat.
B: Focusing on emotional distress is important but addressing the physical need for food should take priority.
C: Redirecting the patient to a different activity may temporarily distract them but does not address the underlying issue of malnutrition.

Which of the following is the most common childhood mental disorder?

  • A. ADHD
  • B. Aspergers syndrome
  • C. Conduct disorder
  • D. Enuresis
Correct Answer: A

Rationale: ADHD (attention deficit/hyperactivity disorder) is the most common mental disorder in the 8 to 15 year old age group.

In autistic spectrum disorder when as individual exhibits immediate imitation of words or sounds they have just heard, this is known as:

  • A. Echoastic disorder
  • B. Phonological inhibition
  • C. Echolalia
  • D. Grapheme dysfunction
Correct Answer: C

Rationale: Echolalia: The immediate imitation of words or sounds heard, a common feature in autistic spectrum disorder.

Which environmental factor most hinders mental development?

  • A. Lack of sleep
  • B. Poor nutrition
  • C. Excessive screen time
  • D. Noisy surroundings
Correct Answer: B

Rationale: Poor nutrition (B) most hinders mental development by limiting brain growth and function. Sleep (A), screen time (C), and noise (D) impact development, but nutrition is foundational.

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