Age Specific Care Competency

Age Specific Care Competency Related

Review Age Specific Care Competency related questions and content

What is an important aspect of managing refeeding syndrome in patients with anorexia nervosa?

  • A. Refeeding the patient with high-calorie foods immediately.
  • B. Monitoring electrolytes closely during the refeeding process.
  • C. Allowing the patient to eat whatever they want without restrictions.
  • D. Restricting fluid intake to avoid water retention.
Correct Answer: B

Rationale: The correct answer is B because monitoring electrolytes closely during refeeding is crucial to prevent life-threatening complications such as electrolyte imbalances. Refeeding syndrome can lead to shifts in electrolytes, particularly phosphorus, potassium, and magnesium, which may result in cardiac arrhythmias, respiratory failure, or even death. Close monitoring allows for timely interventions to maintain electrolyte balance.

Choice A is incorrect because refeeding a patient with high-calorie foods immediately can actually exacerbate refeeding syndrome by overwhelming the body's metabolic and electrolyte regulation processes. Choice C is incorrect because allowing the patient to eat whatever they want without restrictions can lead to rapid and uncontrolled weight gain, which may worsen medical complications. Choice D is incorrect because restricting fluid intake can also contribute to electrolyte imbalances and dehydration during refeeding.

You may also like to solve these questions

In most anxiety disorders, the person's distress is

  • A. focused on a specific situation
  • B. related to ordinary life stresses
  • C. greatly out of proportion to the situation
  • D. based on a physical cause
Correct Answer: C

Rationale: Anxiety disorders feature exaggerated distress disproportionate to the trigger, unlike normal stress.

The chief distinguishing feature of psychotic disorders is

  • A. confusion of fantasy and reality
  • B. antisocial conduct
  • C. overwhelming anxiety
  • D. obsessive behavior
Correct Answer: A

Rationale: Psychotic disorders are characterized by a loss of reality testing, such as hallucinations and delusions, distinguishing them from other conditions.

A newly admitted patient diagnosed with paranoid schizophrenia is hypervigilant and constantly scans the environment. He states that he saw two doctors talking in the hall and knows they were plotting to kill him. When charting, how should the nurse identify this behavior?

  • A. Idea of reference
  • B. Delusion of infidelity
  • C. Auditory hallucination
  • D. Echolalia
Correct Answer: A

Rationale: The correct answer is A: Idea of reference. This term refers to the belief that neutral events are directed at oneself. In this case, the patient's interpretation of doctors talking as a plot against him signifies a misinterpretation of reality. Delusion of infidelity (B) involves belief in a partner's unfaithfulness, which is not applicable here. Auditory hallucination (C) involves hearing voices, not relevant to this scenario. Echolalia (D) is the repetition of words spoken by others, not demonstrated in the patient's behavior. Thus, A is the most appropriate identification for this behavior.

In addition to antidepressants, which of the following is usual treatment for postpartum depression?

  • A. Antipsychotics
  • B. Psychotherapy
  • C. Hormone replacement
  • D. Temporary removal of the baby from the home
Correct Answer: B

Rationale: Psychotherapy (B) along with antidepressants are the major treatments for postpartum depression. Patients usually are not psychotic (A), hormone replacement (C) is not indicated, and mother and baby should be kept together with support (D).

A client with moderate to severe dementia does not remember her son's name. The son repeatedly questions the mother when he visits the dementia facility, asking, 'Do you know my name?' The mother invariably becomes agitated. The nurse can most effectively intervene by explaining to the son:

  • A. Your mother is angry with you and is punishing you by 'forgetting' who you are. Be patient and she'll get over it.'
  • B. I know it is difficult for you, but your mother's dementia is severe and she cannot retain information even for short periods of time. She senses your distress and becomes agitated.'
  • C. Although it's a strain for you, you will need to reorient your mother as often as you can, during the time you are with her. With repetition, she may be able to understand and recall what you are saying.'
  • D. Because you become so distressed, it might be better if you come to see your mother only once a week and stay for only a short time.'
Correct Answer: B

Rationale: Rationale:
1. Correct Answer (B): Explains the son's mother's inability to retain information due to severe dementia, causing agitation. Validates son's feelings and provides insight into the mother's behavior.
2. Incorrect Answer (A): Falsely suggests the mother is punishing the son by forgetting, potentially causing misunderstanding and blame.
3. Incorrect Answer (C): Implies the son should solely focus on reorienting the mother, overlooking the emotional impact and distress caused by repetitive questioning.
4. Incorrect Answer (D): Suggests limiting visits based on the son's distress, rather than addressing the root cause of agitation caused by the mother's dementia.

Copyright © 2025 Nokea. All rights reserved.