Age Specific Patient Care

Age Specific Patient Care Related

Review Age Specific Patient Care related questions and content

What is the priority assessment for a patient with bulimia nervosa who is experiencing frequent purging behaviors?

  • A. Monitor for signs of electrolyte imbalances and dehydration.
  • B. Assess for any weight gain and increase exercise habits.
  • C. Encourage the patient to express feelings about food and body image.
  • D. Monitor for compulsive eating behaviors and binge episodes.
Correct Answer: A

Rationale: The correct answer is A: Monitor for signs of electrolyte imbalances and dehydration. This is the priority assessment for a patient with bulimia nervosa who is experiencing frequent purging behaviors because purging can lead to electrolyte imbalances and dehydration, which can result in serious health complications such as cardiac arrhythmias and renal issues. Monitoring electrolyte levels and hydration status is crucial for the patient's safety and well-being.

Summary:
- Choice B is incorrect because focusing on weight gain and exercise habits is not the priority when dealing with the immediate health risks of electrolyte imbalances and dehydration.
- Choice C is incorrect as expressing feelings about food and body image is important for therapy but not the priority in this acute situation.
- Choice D is incorrect as monitoring for compulsive eating behaviors and binge episodes is more relevant for patients with binge eating disorder rather than bulimia nervosa with frequent purging behaviors.

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Here in Boston our water comes from

  • A. Groundwater
  • B. The Charles River
  • C. Marlborough
  • D. The Quabbin Reservoir
Correct Answer: D

Rationale: Boston's primary water source is the Quabbin Reservoir, which supplies clean water to the metropolitan area.

An adolescent patient is diagnosed with dementia. The patient's age would cause a nurse to suspect which underlying condition sometimes associated with this diagnosis?

  • A. Head trauma
  • B. Neurosyphilis
  • C. Pick disease
  • D. Hypothyroidism
Correct Answer: A

Rationale: The correct answer is A: Head trauma. Adolescents are less likely to develop dementia due to age-related neurodegenerative diseases. Head trauma can lead to cognitive impairment and memory loss, mimicking symptoms of dementia. Neurosyphilis is a sexually transmitted infection affecting the brain, not common in adolescents. Pick disease is a rare neurodegenerative disorder more commonly seen in older adults. Hypothyroidism can cause cognitive symptoms but is not typically associated with dementia in adolescents.

Features of schizoid personality include.

  • A. Hyper-vigilant ready for real or imagines threat
  • B. Inability to respond to others, hyper-vigilant
  • C. Social withdrawal, inability to respond to others
  • D. Ready for real or imagined threat, social withdrawal
Correct Answer: C

Rationale: Schizoid personality disorder is characterized by social withdrawal and emotional detachment, with little interest in relationships.

The nurse is interviewing a client who presents with a dislocated shoulder. She demonstrates signs of anxiety and poor eye contact and turns to her partner for answers, allowing him to speak for her. The nurse asks the partner to go to the admitting office to give insurance information. While the partner is out of the room, which question is most important to ask?

  • A. How did the shoulder dislocation occur?'
  • B. Do you feel safe at home?'
  • C. Have you ever been injured before?'
  • D. None of the above.
Correct Answer: A

Rationale: Step 1: By asking how the shoulder dislocation occurred, the nurse can assess the mechanism of injury and potential risk factors for further harm.
Step 2: Understanding the cause can guide treatment decisions and prevent future injuries.
Step 3: This question is crucial for providing appropriate care and ensuring the client's safety.
Summary: Option A is the correct answer as it directly relates to the client's current condition and allows the nurse to gather essential information for effective care. Options B and C are not as pertinent at this moment, and option D is incorrect as gathering information from the client is essential in this situation.

The nurse who is caring for a 23-year-old client with bulimia knows that the most common method of purging to monitor this client for is:

  • A. Vomiting.
  • B. Starvation.
  • C. Excessive enema use.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A: Vomiting. In bulimia, vomiting is the most common method of purging after binge eating to control weight. Monitoring for signs of vomiting, such as frequent trips to the bathroom after meals or presence of swollen salivary glands, is crucial. Starvation (B) is not a method of purging in bulimia but rather a consequence of restriction in anorexia nervosa. Excessive enema use (C) is not a common method of purging in bulimia and can be harmful. Therefore, the correct choice is A as it aligns with the typical behavior of individuals with bulimia.

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