Age Specific Patient Care Quizlet

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The nurse at the clinic is interviewing a patient who offers a number of vague somatic complaints that might not ordinarily prompt a visit to a caregiver: fatigue, back pain, and seems tense. After having spoken of the symptoms, the nurse can best serve the patient by:

  • A. Asking if the patient has ever had psychiatric counseling.
  • B. Completing a structured abuse assessment protocol.
  • C. Suggesting the patient take a break from work.
  • D. None of the above.
Correct Answer: B

Rationale: The correct answer is B: Completing a structured abuse assessment protocol. In this scenario, the patient presents with vague somatic complaints that could potentially be indicative of underlying abuse. By completing an abuse assessment protocol, the nurse can uncover any possible abuse the patient may be experiencing, which could be the root cause of their symptoms. This approach is crucial in ensuring the patient's safety and well-being.

Choice A is incorrect because assuming the symptoms are solely related to psychiatric issues without exploring other potential causes can lead to overlooking important factors. Choice C is incorrect as suggesting a break from work may not address the underlying issue and could potentially worsen the patient's situation. Choice D is incorrect as taking no action could result in the patient's condition worsening without proper intervention.

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Which of the following is a potential complication of untreated bulimia nervosa?

  • A. Severe dehydration and electrolyte imbalances.
  • B. Rapid weight gain and fluid retention.
  • C. Chronic constipation and digestive issues.
  • D. Severe malnutrition and organ failure.
Correct Answer: A

Rationale: The correct answer is A: Severe dehydration and electrolyte imbalances. Untreated bulimia nervosa involves recurrent episodes of binge-eating followed by compensatory behaviors like purging. Purging can lead to fluid loss and electrolyte imbalances, causing dehydration. This can result in serious health complications such as cardiac arrhythmias and kidney damage. Rapid weight gain and fluid retention (B) are more associated with binge-eating disorder, not bulimia nervosa. Chronic constipation and digestive issues (C) are more commonly seen in anorexia nervosa. Severe malnutrition and organ failure (D) are potential complications of anorexia nervosa rather than bulimia nervosa.

The therapeutic approach in the care of an autistic child include the following EXCEPT:

  • A. Engage in diversionary activities when acting out
  • B. Provide an atmosphere of acceptance
  • C. Provide safety measures
  • D. Rearrange the environment to activate the child
Correct Answer: D

Rationale: Rearranging the environment to activate the child may overstimulate an autistic child, who typically benefits from consistency and calm settings.

When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the _____ continuum.

  • A. Emotional
  • B. Self-protective
  • C. Neurobiological
  • D. Psychobiological
Correct Answer: C

Rationale: The correct answer is C: Neurobiological. This is because neurobiological factors refer to the brain's functioning and how it affects behavior and cognition. When individuals adapt to their environment using logical thought and socially appropriate ways, it indicates a high level of cognitive and behavioral functioning, which is closely tied to neurobiological processes.

A: Emotional is incorrect because emotional factors focus on feelings and affective responses, not necessarily on logical thought and social appropriateness.
B: Self-protective is incorrect as it pertains to behaviors aimed at ensuring one's safety and security, which may not necessarily involve logical thought and social appropriateness.
D: Psychobiological is incorrect as it encompasses the interaction between psychological and biological processes, which may not specifically relate to adaptive functioning in the given context.

A nurse would attempt to reduce nighttime agitation for a patient with either delirium or dementia by:

  • A. giving warm milk as a snack at bedtime.
  • B. keeping a soft light on in the patient's room.
  • C. placing a large-faced lighted alarm clock opposite the bed.
  • D. hanging family pictures near enough to the bed to be easily seen.
Correct Answer: B

Rationale: The correct answer is B: keeping a soft light on in the patient's room. This helps to reduce nighttime agitation by providing a soothing environment without complete darkness, which can cause confusion and disorientation in patients with delirium or dementia. Warm milk (A) may not address the underlying cause of agitation. A large-faced lighted alarm clock (C) may be distracting and increase confusion. Family pictures (D) may not directly impact nighttime agitation and could potentially overstimulate the patient.

Which nursing intervention would be most helpful for addressing this behavior?

  • A. Hold a weekly staff meeting to discuss feelings and conflicts related to such behavior.
  • B. Confront the patient and advise her that if she continues this, she will lose privileges.
  • C. Get all staff to agree that any and all inappropriate behavior will simply be ignored.
  • D. Evaluate the patient for a medication increase or transfer to a long-term facility.
Correct Answer: A

Rationale: The correct answer is A because holding a weekly staff meeting to discuss feelings and conflicts related to the behavior promotes open communication and teamwork. This intervention allows staff to address the behavior in a collaborative and supportive manner, leading to a better understanding of the underlying issues and potential solutions.

Choice B is not the best option as confronting the patient may escalate the situation and create a power struggle, potentially worsening the behavior. Choice C of ignoring inappropriate behavior can lead to a lack of accountability and enable further misconduct. Choice D of evaluating the patient for a medication increase or transfer may not address the root cause of the behavior and could overlook the importance of addressing it through communication and teamwork.

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