Health Care Utilization by Age Group

Health Care Utilization by Age Group Related

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The mother of a teen with an eating disorder tells the nurse, "Our family is pretty well adjusted. It's hard for me to imagine what we could have done to have this happen." The nurse can promote more complete understanding of the etiology of eating disorders by mentioning that young women are also influenced by:

  • A. the abundance of nutritious foods available.
  • B. the fashion industry's idealization of thinness.
  • C. competition in the work place.
  • D. the biologic tendency to be underweight.
Correct Answer: B

Rationale: The correct answer is B: the fashion industry's idealization of thinness. This is because the fashion industry often promotes thinness as the ideal body type, leading to societal pressure on young women to conform to this standard. This can contribute to the development of eating disorders as individuals may engage in unhealthy behaviors to achieve or maintain a thin body shape.

A: the abundance of nutritious foods available - While access to nutritious foods is important for overall health, it does not directly influence the development of eating disorders.
C: competition in the work place - While workplace competition may contribute to stress, it is not a primary factor in the development of eating disorders.
D: the biologic tendency to be underweight - While genetic factors can play a role in susceptibility to eating disorders, it is not the primary influence in the development of these disorders in young women.

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When a victim of sexual assault is discharged from the emergency department, the nurse should:

  • A. Notify the patient's family of the event to ensure support for the patient.
  • B. Offer to stay with the patient until stability is regained.
  • C. Advise the patient to try not to think about the assault.
  • D. Provide referral information verbally and in writing.
Correct Answer: D

Rationale: The correct answer is D because providing referral information verbally and in writing ensures that the victim has access to appropriate resources for follow-up care and support. This step is crucial in helping the victim navigate the emotional and physical aftermath of the assault.

A: Notifying the patient's family without the patient's consent could violate the patient's privacy and autonomy.
B: While offering to stay with the patient shows support, it may not always be feasible and may not address the victim's long-term needs.
C: Advising the patient to try not to think about the assault is dismissive of their trauma and does not provide constructive support.

A female client with a psychotic disorder is experiencing olfactory hallucinations. Most likely, she would be complaining of:

  • A. A vision that is disturbing to her
  • B. A sound that is disturbing to her
  • C. A smell that is disturbing to her
  • D. A sense of touch that is disturbing to her
Correct Answer: C

Rationale: The correct answer is C because olfactory hallucinations involve perceiving smells that are not actually present. In a psychotic disorder, such hallucinations are common and can be disturbing to the individual. This is due to the sensory perception of smells that others cannot detect. Choices A, B, and D do not align with the experience of olfactory hallucinations. Vision (A) and sound (B) are not related to olfactory hallucinations, and a sense of touch (D) is not typically associated with this type of sensory distortion in psychotic disorders.

Which of the following is related to recent attempts to find biochemical explanations for schizophrenia?

  • A. schizotaxin
  • B. psychotropin
  • C. dopamine
  • D. diazepam
Correct Answer: C

Rationale: Dopamine excess in the brain is a leading biochemical theory for schizophrenia, supported by antipsychotic efficacy.

The caregiver for a client with moderate to severe dementia tells the nurse, 'I'm exhausted. He wanders at night instead of sleeping, so I get no rest. I'm afraid to leave him during the day, so I have to take him to the grocery store and to the laundromat. When I'm busy there, he often wanders off. Still, I have to do it all.' The nurse recognizes the need to provide teaching for this caregiver. An appropriate outcome is that the caregiver will:

  • A. Develop strategies to ensure the client's safety.
  • B. Seek respite care to get a break.
  • C. Join a support group for caregivers.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A: Develop strategies to ensure the client's safety. This is the most appropriate outcome as it directly addresses the caregiver's concerns of the client wandering and ensures their safety. By developing strategies such as installing door alarms, creating a safe sleeping environment, and establishing a routine, the caregiver can mitigate the risks associated with wandering behavior.

Summary:
- B: Seek respite care to get a break: While respite care is important for caregiver well-being, it does not directly address the safety concerns of the client wandering.
- C: Join a support group for caregivers: While support groups can be beneficial for emotional support, they may not provide immediate solutions to ensure the client's safety.

Schizophrenia affects approximately _____% of the world's population.

  • A. 1
  • B. 5
  • C. 9
  • D. 13
Correct Answer: A

Rationale: The correct answer is A (1%). Schizophrenia affects around 1% of the world's population, according to research. This prevalence rate has been consistently reported across different studies and populations. It is a chronic and severe mental disorder, but it is not as common as other mental health conditions. Choices B, C, and D (5%, 9%, 13%) are incorrect because they overestimate the prevalence of schizophrenia. These percentages are much higher than the actual documented rate, which is closer to 1%.

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