Age Specific Considerations in Patient Care

Age Specific Considerations in Patient Care Related

Review Age Specific Considerations in Patient Care related questions and content

In planning aftercare for a client with schizophrenia and whose insurance benefits have been exhausted, the nurse who is concerned about overcoming negative symptoms will make provisions for the client to have stimulation, structure, socialization, and support. Which option would best incorporate these factors?

  • A. Day hospitalization
  • B. Attending a psychosocial club
  • C. Living with his elderly mother
  • D. Spending free time in the mall
Correct Answer: B

Rationale: The correct answer is B: Attending a psychosocial club. This option best incorporates the necessary factors of stimulation, structure, socialization, and support for the client with schizophrenia.
- Stimulation: Psychosocial clubs offer various activities to engage the client's mind and keep them occupied.
- Structure: These clubs usually have regular schedules and routines, providing the client with a sense of order and predictability.
- Socialization: Interacting with others in the club can help the client improve social skills and combat feelings of isolation.
- Support: Being part of a community in the club can provide emotional support and encouragement for the client.

Incorrect Choices:
- A: Day hospitalization may offer structure and support but may lack the socialization and stimulation provided by a psychosocial club.
- C: Living with his elderly mother may provide support but may not offer the necessary stimulation, structure, and socialization outside of the home environment.
- D: Spending free time in the mall may offer

You may also like to solve these questions

Which is a hallmark characteristic of bulimia nervosa?

  • A. Persistent restriction of caloric intake.
  • B. Binge eating followed by purging behaviors.
  • C. Severe weight loss due to food refusal.
  • D. Excessive exercising to burn calories.
Correct Answer: B

Rationale: The correct answer is B because bulimia nervosa is characterized by recurrent episodes of binge eating followed by compensatory behaviors such as purging. Binge eating involves consuming a large amount of food in a short period, followed by feelings of loss of control. Purging behaviors like self-induced vomiting or misuse of laxatives are used to prevent weight gain. Choices A, C, and D are incorrect because bulimia nervosa typically involves normal or fluctuating weight, not severe weight loss or excessive exercise to burn calories. Persistent restriction of caloric intake is more indicative of anorexia nervosa, not bulimia nervosa.

The family of a patient with schizophrenia who has been stable for a year reports to the community mental health nurse that the patient reports feeling tense and having difficulty concentrating. He sleeps only 3 to 4 hours nightly and has begun to talk about creatures called 'volmers' hiding in the warehouse where he works and undoing his work each night. This information most likely suggests:

  • A. medication nonadherence.
  • B. a need for psychoeducation.
  • C. the chronic nature of his illness.
  • D. relapse of his schizophrenia.
Correct Answer: D

Rationale: The correct answer is D: relapse of his schizophrenia. The patient's symptoms of feeling tense, difficulty concentrating, poor sleep, and delusional beliefs about creatures at work indicate a worsening of his psychotic symptoms. This suggests a relapse of schizophrenia, a chronic mental illness characterized by periods of stability and exacerbation of symptoms. The patient's previous stability for a year makes medication nonadherence less likely. While psychoeducation may be beneficial, the patient's current symptoms require more immediate intervention for relapse management. The information provided does not directly indicate the chronic nature of his illness, but rather an acute exacerbation. Therefore, D is the most appropriate choice based on the presented symptoms and clinical understanding of schizophrenia.

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: Correct Answer: B. Determine whether the patient can hear as the nurse speaks.

Rationale:
1. Hearing assessment is crucial to ensure patient understanding and communication.
2. Hearing loss may affect compliance with treatment and safety.
3. Identifying hearing deficits early can prevent misunderstandings and improve patient outcomes.

Summary:
- A: While a neurological assessment may be necessary, addressing hearing first is more immediate.
- C: Suggesting rest may help with headache management, but addressing hearing is more critical.
- D: Administering medication is premature without assessing hearing first.

In learning disabilities, the name for mathematical disorder is:

  • A. Dyspraxia
  • B. Dyslexia
  • C. Dyscalculia
  • D. Dysphasia
Correct Answer: C

Rationale: Mathematics Disorder (Dyscalculia): A specific learning disability characterised by mathematical ability being substantially below norm for chronological age, intelligence, and educational level.

A group of teenagers are discussing their individual problems associated with having an eating disorder. Which findings would the nurse attribute to purging?

  • A. Excessive facial hair
  • B. Elevated blood pressure
  • C. Polyuria
  • D. Dental enamel erosion
Correct Answer: C

Rationale: Rationale for Correct Answer (C - Polyuria):
1. Purging involves self-induced vomiting or misuse of laxatives/diuretics.
2. Vomiting can lead to electrolyte imbalances, causing increased urine production (polyuria).
3. Polyuria is a common sign of purging behaviors due to electrolyte disturbances.

Summary of Incorrect Choices:
A: Excessive facial hair - Not directly related to purging behavior.
B: Elevated blood pressure - Could be related to stress or other factors, not specific to purging.
D: Dental enamel erosion - More likely associated with frequent vomiting (purging) rather than polyuria.

Copyright © 2025 Nokea. All rights reserved.