Population Based Health Care

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The nurse is planning care for a battered woman who has mentioned, 'Someday I'll have to leave him.' Which outcome should the nurse include in the plan of care for this client?

  • A. Client will leave husband for a safe environment within 3 weeks
  • B. Client will state that she feels more relaxed after consultation with nurse
  • C. Client will state that she feels strong enough to return to the situation
  • D. Client will verbalize awareness of the dangerousness of her situation
Correct Answer: D

Rationale: The correct answer is D: Client will verbalize awareness of the dangerousness of her situation. This outcome is crucial as it indicates the client's understanding of the risks involved in her current situation. By verbalizing awareness, the client is acknowledging the potential harm and taking a significant step towards recognizing the need for change. This outcome lays the foundation for further interventions and support.

Choice A is incorrect because setting a specific timeline for leaving may not be feasible or safe for the client. Choice B is incorrect as feeling relaxed does not necessarily address the underlying issue of abuse. Choice C is incorrect as feeling strong does not necessarily equate to recognizing the dangers of the situation. The focus should be on increasing awareness and empowering the client to make informed decisions.

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One bed is available on the eating disorders unit. Which patient should be admitted? The patient whose assessment findings show the weight dropped from:

  • A. 150 to 102 pounds over a 4-month period.
  • B. 120 to 90 pounds over a 3-month period.
  • C. 130 to 100 pounds over a 2-month period.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A because the patient has experienced a significant weight drop from 150 to 102 pounds over a 4-month period. This represents a loss of 48 pounds over a relatively longer period, indicating a more severe and prolonged issue with weight loss. The other choices show weight drops of 30 pounds over 3 months (B) and 30 pounds over 2 months (C), which are also concerning but not as severe or long-lasting as the situation described in choice A. Choice D is incorrect as at least one patient should be admitted based on the information provided.

Explain four (4) the behavioral features of Anorexia Nervosa

  • A. Restricting food intake
  • B. Excessive exercise
  • C. Body image distortion
  • D. Fear of weight gain
Correct Answer: A

Rationale: These behaviors reflect the core features of anorexia: restriction, overactivity, distorted perception, and weight obsession.

The most severe psychological disorder is a(n)

  • A. personality disorder
  • B. psychosomatic illness
  • C. anxiety disorder
  • D. psychosis
Correct Answer: D

Rationale: Psychosis, involving severe reality distortion, is considered the most debilitating class of disorders.

Which would be the best initial approach for a nurse to select when managing the care of an individual with two children who works full-time and has been abused by a partner?

  • A. Teach the individual how to avoid provoking the abuser.
  • B. Assist the individual in filing a police report describing the abuse.
  • C. Help the individual to identify needs in order to best obtain support.
  • D. Facilitate the individual's move into a safe house located near the current workplace.
Correct Answer: C

Rationale: The correct answer is C: Help the individual to identify needs in order to best obtain support. This is the best initial approach because it focuses on understanding the individual's specific needs and circumstances before taking any further action. By identifying needs, the nurse can create a tailored plan to provide appropriate support and resources.

Option A is incorrect because teaching the individual to avoid provoking the abuser places the responsibility on the victim rather than addressing the root cause of the abuse. Option B, filing a police report, may not be the best initial step as it may not take into consideration the individual's safety concerns or emotional well-being. Option D, moving the individual to a safe house, may not be feasible or desired by the individual without first understanding their needs and preferences.

A patient with antisocial personality disorder tells Nurse A, 'You're a much better nurse than Nurse B said you were.' The patient tells Nurse B, 'Nurse A's upset with you for some reason.' To Nurse C the patient states, 'You'd like to think you're perfect, but I've seen three of your mistakes this morning.' 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: Hold a weekly staff meeting to discuss feelings and conflicts related to such behavior. This intervention promotes open communication among staff members to address and understand the patient's behavior. It allows for collaboration in managing challenging situations and ensures consistency in approach. Confronting the patient (B) may escalate the behavior and damage the therapeutic relationship. Ignoring inappropriate behavior (C) does not address the underlying issues and may lead to staff frustration. Evaluating for medication increase or transfer (D) should be considered only after non-pharmacological interventions have been exhausted.

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