Health Care Utilization by Age Group

Health Care Utilization by Age Group Related

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During a manic episode, a patient is hyperactive, restless, and disorganized. The patient goes to the dining room and begins to throw food and dishes. Verbal intervention is ineffective. The patient's behavior poses a substantial risk of harm to others. Staff escorts the patient to the patient's room to dine alone. What is the rationale for this action?

  • A. Prevent other patients from observing the behavior.
  • B. Reduce environmental stimuli that negatively affect the patient.
  • C. Protect the patient's biological integrity until medication takes effect.
  • D. Reinforce limit setting
Correct Answer: B

Rationale: The correct answer is B: Reduce environmental stimuli that negatively affect the patient. This action helps reduce stimulation that may be exacerbating the manic episode, promoting a calmer environment for the patient. Removing the patient from the dining room minimizes triggers for further disruptive behavior. This approach prioritizes the patient's well-being by managing the environmental factors contributing to the escalation of symptoms.

A: Preventing other patients from observing the behavior does not directly address the patient's needs during the manic episode and does not actively help in managing the situation.
C: Protecting the patient's biological integrity until medication takes effect may be important, but in this scenario, the immediate focus is on addressing the environmental factors contributing to the behavior.
D: Reinforcing limit setting is important in managing behavior, but in this specific situation, reducing environmental stimuli is a more immediate and effective intervention.

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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.

A 75-year-old patient comes to the clinic reporting frequent headaches. As the nurse begins the interaction, which action is most important?

  • A. Complete a neurological assessment
  • B. Determine whether the patient can hear as the nurse speaks
  • C. Suggest that the patient lie down in a darkened room for a few minutes
  • D. Administer medication to relieve the patient's pain before continuing the assessment
Correct Answer: B

Rationale: Before proceeding with any further assessment, the nurse should assess the patients ability to hear questions. Impaired hearing could lead to inaccurate answers.

A nurse is providing care for a patient with anorexia nervosa who has refused to eat. What is the nurse's priority intervention?

  • A. Provide a structured meal plan and encourage the patient to eat.
  • B. Allow the patient to skip meals to avoid overwhelming them.
  • C. Focus on addressing body image concerns before eating.
  • D. Monitor the patient's weight closely without intervention.
Correct Answer: A

Rationale: The correct answer is A: Provide a structured meal plan and encourage the patient to eat. This is the priority intervention because patients with anorexia nervosa often have a distorted perception of their body and food intake. By providing a structured meal plan, the nurse can help the patient establish a healthy eating routine. Encouraging the patient to eat is crucial to prevent further malnutrition and complications.

Choice B is incorrect because allowing the patient to skip meals can worsen their condition and reinforce unhealthy behaviors. Choice C is incorrect because addressing body image concerns should be done in conjunction with addressing the patient's nutritional needs. Choice D is incorrect because monitoring weight without intervening to address the underlying issue of refusal to eat is not sufficient in managing anorexia nervosa.

What is a key consideration when treating a patient with anorexia nervosa?

  • A. Addressing the patient's weight first and foremost.
  • B. Focusing on nutrition and caloric intake without addressing underlying issues.
  • C. Addressing the psychological and emotional factors that contribute to the disorder.
  • D. Providing strict dietary restrictions to help the patient regain control over food.
Correct Answer: C

Rationale: The correct answer is C because addressing the psychological and emotional factors is crucial in treating anorexia nervosa. This disorder is not solely about weight or food intake; it often involves deeper psychological issues such as body image distortion, low self-esteem, and control issues. By focusing on the underlying psychological and emotional factors, therapists can help patients understand and cope with these issues, leading to more effective and sustainable recovery. Choices A, B, and D are incorrect because they overlook the complexity of anorexia nervosa and may even exacerbate the patient's condition by neglecting the root causes of the disorder.

What role does play have in mental development?

  • A. Minimal
  • B. Develops social skills only
  • C. Enhances imagination and reasoning
  • D. Physical benefits only
Correct Answer: C

Rationale: Play enhances imagination and reasoning (C), fostering cognitive growth. It's not minimal (A), not just social (B), or only physical (D), per child development research.

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