Age Specific Nursing Care

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What is the priority nursing intervention when caring for a patient with bulimia nervosa who has a history of purging?

  • A. Provide emotional support and assist with stress management.
  • B. Monitor vital signs and electrolyte levels closely.
  • C. Encourage the patient to exercise regularly to prevent weight gain.
  • D. Help the patient identify triggers for binge eating and purging behaviors.
Correct Answer: B

Rationale: The correct answer is B because monitoring vital signs and electrolyte levels closely is crucial in managing a patient with bulimia nervosa who has a history of purging. Purging can lead to electrolyte imbalances and dehydration, which can have serious consequences such as cardiac arrhythmias and electrolyte disturbances. By closely monitoring vital signs and electrolyte levels, nurses can quickly identify and intervene in case of any abnormalities, preventing potential life-threatening complications.

Choice A is incorrect because emotional support and stress management are important but not the priority when dealing with physical complications from purging. Choice C is incorrect because encouraging exercise may exacerbate the patient's unhealthy behaviors and should be approached cautiously. Choice D is incorrect because identifying triggers is important but not as immediate as monitoring vital signs and electrolyte levels in this situation.

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Which of the following is a characteristic of bulimia nervosa?

  • A. Severe caloric restriction and weight loss.
  • B. Binge eating followed by compensatory behaviors like vomiting.
  • C. Extreme preoccupation with body image and excessive exercise.
  • D. Refusal to eat any food and self-imposed starvation.
Correct Answer: B

Rationale: The correct answer is B. Bulimia nervosa is characterized by recurrent episodes of binge eating followed by compensatory behaviors such as self-induced vomiting, excessive exercise, or fasting. This behavior helps individuals to control their weight and manage guilt associated with binge eating. Choice A is incorrect as bulimia is not associated with severe caloric restriction and weight loss. Choice C is more characteristic of anorexia nervosa, not bulimia. Choice D describes anorexia nervosa, where individuals refuse to eat and engage in self-imposed starvation.

A nurse planning teaching for a parent group concerned with preventing family violence can discuss the fact that exposure to violence in the media:

  • A. Has no effect on the increase of violence in society
  • B. Assists individuals to distinguish appropriate behaviors from inappropriate behaviors
  • C. Desensitizes people to the violence around them
  • D. Broadens the viewer's knowledge about world happenings
Correct Answer: C

Rationale: The correct answer is C: Desensitizes people to the violence around them. Exposure to violence in the media can desensitize individuals, leading them to become less sensitive or responsive to violent acts in real life. This desensitization can contribute to a normalization of violence and reduce the perceived severity of violent behaviors. This can potentially lead to an increase in tolerance for violence in society.

Incorrect choices:
A: Has no effect on the increase of violence in society - This is incorrect because research has shown that exposure to media violence can have an impact on behavior.
B: Assists individuals to distinguish appropriate behaviors from inappropriate behaviors - This is incorrect as exposure to violence in the media may blur the lines between appropriate and inappropriate behaviors.
D: Broadens the viewer's knowledge about world happenings - This is incorrect as exposure to violence in the media may not necessarily lead to a broader understanding of world events, especially if the focus is on sensationalized or graphic content.

A victim of partner abuse, parent of one child, describes the partner as someone who is easily frustrated and more likely to be abusive after experiencing an event in which the most recent episodes of violence were related to feeling 'upset' over a job loss. What type of therapy would provide the greatest help to the abuser?

  • A. Voluntary individual or group therapy
  • B. Court-ordered individual or group therapy
  • C. Voluntary couples or family therapy
  • D. None of the above
Correct Answer: A

Rationale: The correct answer is A: Voluntary individual or group therapy. This type of therapy would be most helpful as it focuses on addressing the abuser's personal issues and behaviors, such as managing frustration and anger. By participating voluntarily, the abuser is more likely to be open to introspection and change.

Summary of other choices:
B: Court-ordered therapy may not be as effective as voluntary therapy, as the abuser may feel forced and less motivated to engage in the process.
C: Couples or family therapy may not be appropriate initially as the abuser needs to work on personal issues first before addressing relationship dynamics.
D: None of the above is incorrect as voluntary individual or group therapy is the most suitable option for addressing the abuser's behavior.

According to the map showing deaths resulting from poor air quality worldwide, which regions of the world have the poorest air quality?

  • A. Brazil
  • B. China
  • C. Canada
  • D. Australia
Correct Answer: B

Rationale: China has some of the poorest air quality globally due to industrial pollution and urbanization, as shown in air quality death maps.

Which of the following is an example of a Specific Learning Disability?

  • A. Mental Retardation
  • B. Dyslexia
  • C. ADHD
  • D. Autistic spectrum disorders
Correct Answer: B

Rationale: Dyslexia: A persistent, chronic condition in which reading ability lags behind that of non-impaired individuals for the course of most of their lifetime.

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