Population Specific Care

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What is the most important goal for a nurse when providing care for a patient with bulimia nervosa?

  • A. To promote weight loss through strict dietary control.
  • B. To help the patient eliminate purging behaviors and develop healthy eating habits.
  • C. To encourage excessive exercise to balance caloric intake.
  • D. To focus solely on addressing body image issues.
Correct Answer: B

Rationale: The correct answer is B: To help the patient eliminate purging behaviors and develop healthy eating habits. This goal is important because it addresses the core issues of bulimia nervosa, which are unhealthy purging behaviors and distorted eating patterns. By helping the patient stop purging and establish healthy eating habits, the nurse can promote long-term recovery and overall well-being.

Choice A is incorrect because promoting weight loss through strict dietary control can exacerbate the patient's unhealthy relationship with food and body image. Choice C is incorrect as encouraging excessive exercise can contribute to a cycle of compulsive behaviors and worsen the patient's physical and mental health. Choice D is incorrect because focusing solely on body image issues neglects the underlying psychological factors contributing to bulimia nervosa.

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What is the priority intervention for a nurse caring for a patient with bulimia nervosa?

  • A. Assist the patient to identify triggers to binge eating.
  • B. Provide remedial consequences for weight loss.
  • C. Assess for signs of impulsive eating.
  • D. Explore needs for health teaching.
Correct Answer: A

Rationale: The correct answer is A: Assist the patient to identify triggers to binge eating. This intervention is crucial for managing bulimia nervosa as it helps address the root cause of the behavior. By identifying triggers, the patient can develop strategies to avoid or cope with them, ultimately reducing the frequency of binge eating episodes. Choices B, C, and D are incorrect because providing consequences for weight loss may reinforce unhealthy behaviors, assessing for impulsive eating is not addressing the underlying triggers, and exploring needs for health teaching is not as immediate and targeted as identifying triggers for binge eating.

The dopamine-psychosis link is based on the observation that

  • A. low dopamine levels of activity in the brain seem to produce psychotic symptoms
  • B. there are high levels of dopamine activity in the brains of psychotic people
  • C. there are high levels of amphetamine in the brains of schizophrenics
  • D. dopamine interacts with serotonin creating psychosis
Correct Answer: B

Rationale: Elevated dopamine activity is associated with psychotic symptoms, especially in schizophrenia.

A 32-year-old client with an admitting diagnosis of catatonic schizophrenia has been mute and motionless for 2 days. The priority nursing diagnosis is:

  • A. Risk for deficient fluid volume
  • B. Impaired physical mobility
  • C. Impaired social interaction
  • D. Ineffective coping
Correct Answer: A

Rationale: The correct answer is A: Risk for deficient fluid volume. The priority nursing diagnosis in this case is to address the client's physical needs to ensure their safety and well-being. The client's mutism and immobility put them at risk for dehydration and malnutrition. By prioritizing the risk for deficient fluid volume, the nurse can address the immediate physiological needs of the client.

Choice B: Impaired physical mobility is incorrect because while the client is motionless, the immediate concern is addressing the risk of dehydration.

Choice C: Impaired social interaction is incorrect as addressing social interaction is not the priority when the client's physical needs are not being met.

Choice D: Ineffective coping is incorrect because the client's presentation is indicative of a more urgent physical need for hydration and nutrition.

The Omnibus Budget Reconciliation Act (OBRA) provides standards of care for which of the following:

  • A. Very young
  • B. Older adults
  • C. Those who have certain intellectual communication difficulties
  • D. Those without medical insurance
Correct Answer: B

Rationale: OBRA provides regulations for proper assessment of the elderly (B); for this reason, registered nurses have to provide the initial physical assessment.

In Massachusetts, which year contained the highest level of days exceeding the 8-hour average ground-level ozone standard?

  • A. 1983
  • B. 1984
  • C. 2007
  • D. 1999
Correct Answer: A

Rationale: 1983 likely had higher ozone exceedances due to less stringent regulations and higher industrial emissions at that time.

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