Age Specific Populations

Age Specific Populations Related

Review Age Specific Populations related questions and content

The nurse is aware, when developing a care plan, that the three major goals of care for the client in whom Alzheimer's disease has been diagnosed include providing for the client's safety and well-being, therapeutically managing the client's behaviors, and:

  • A. Supporting the client during curative care
  • B. Providing support for family, relatives, and caregivers
  • C. Arranging for nursing home placement
  • D. Tracking the progress of medical, legal, and financial records
Correct Answer: B

Rationale: The correct answer is B: Providing support for family, relatives, and caregivers. This is because Alzheimer's disease not only affects the individual but also has a significant impact on their family and caregivers. Providing support to them is crucial for maintaining the overall well-being of the client. Choice A is incorrect as Alzheimer's disease does not have a curative treatment. Choice C is incorrect as nursing home placement is not always necessary and should be considered as a last resort. Choice D is incorrect as tracking medical, legal, and financial records is important but not a major goal in the care plan for Alzheimer's clients. Supporting the family and caregivers helps in creating a supportive environment for the client and ensures holistic care.

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A 16-year-old client has anorexia nervosa. She has lost 50 pounds during the past 3 months and is about 20 pounds under the weight that is normal for her height. She has dry skin with poor turgor, hair breakage, and brittle nails. The nurse can anticipate that when giving information about her menstrual history, the client is likely to report:

  • A. heavy menstrual flow.
  • B. amenorrhea.
  • C. premenstrual syndrome.
  • D. dysmenorrhea.
Correct Answer: B

Rationale: The correct answer is B: amenorrhea. In anorexia nervosa, severe weight loss can disrupt the hormonal balance, leading to the cessation of menstruation, known as amenorrhea. This is due to the body conserving energy and prioritizing essential functions over reproductive processes. The client's significant weight loss and physical symptoms indicate a state of malnutrition, further supporting the likelihood of amenorrhea. The other choices (heavy menstrual flow, premenstrual syndrome, dysmenorrhea) are less likely because they are not typically associated with anorexia nervosa and severe weight loss. Amenorrhea is a common manifestation of anorexia nervosa and reflects the impact of malnutrition on reproductive health.

All of the following are ways that you can reduce your contributions to ground ozone pollution except

  • A. Conserving energy at home and at school
  • B. Carpooling more to reduce pollution
  • C. Use low VOC paints
  • D. Stop smoking
Correct Answer: D

Rationale: Stopping smoking reduces personal health risks but has minimal direct impact on ground-level ozone, unlike the other options.

A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?

  • A. Sexual dysfunction may result from use of prescription medications for management of hypertension.
  • B. Such questions are an indirect way of learning about the patient's medication adherence.
  • C. These questions ease the transition to questions about sexual practices in general.
  • D. Sexual dysfunction can cause stress and contribute to increased blood pressure.
Correct Answer: A

Rationale: 1. **Step 1**: Hypertension is a common condition managed with prescription medications.
2. **Step 2**: Many antihypertensive medications can cause sexual dysfunction as a side effect.
3. **Step 3**: Therefore, asking about prescribed medications and their effects on sexual function is important.
4. **Step 4**: This helps assess if the patient is experiencing any sexual side effects due to his hypertension medications.
5. **Step 5**: Identifying and addressing such side effects can improve patient outcomes and quality of life.
6. **Summary**: Option A is correct as it directly links the potential sexual dysfunction side effects of hypertension medications to the assessment, unlike the other choices which do not address this important aspect of medication management.

To evaluate whether patient teaching for coping skills has been effective, the psychiatric-mental health nurse asks an adolescent patient to:

  • A. consider the outcomes objectively
  • B. keep a written journal
  • C. perform a return demonstration
  • D. set measurable goals
Correct Answer: C

Rationale: A return demonstration shows the patient can apply coping skills, providing tangible evidence of learning.

Which personality characteristic is most likely in a patient with anorexia nervosa?

  • A. Open displays of emotion
  • B. Perfectionism
  • C. Optimism
  • D. Flexibility
Correct Answer: B

Rationale: Perfectionism is the most likely personality characteristic in a patient with anorexia nervosa because individuals with this disorder often exhibit an intense desire for control, rigid thinking patterns, and a relentless pursuit of thinness. This perfectionistic trait can manifest as strict adherence to self-imposed rules around food intake and excessive exercise. Open displays of emotion (choice A) are less common due to emotional suppression related to the disorder. Optimism (choice C) is unlikely as anorexia nervosa is associated with negative self-perceptions and low self-esteem. Flexibility (choice D) is also unlikely due to the rigid and inflexible behaviors typical of individuals with anorexia nervosa.

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