Age Specific Patient Care

Age Specific Patient Care Related

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When analyzing the behaviors of a 23-year-old who meets the criteria for antisocial personality disorder, the nurse recognizes that the following nursing diagnosis would be pertinent to his care:

  • A. Risk for self-mutilation
  • B. Disturbed personal identity
  • C. Impaired social interaction
  • D. Social isolation
Correct Answer: C

Rationale: Step-by-step rationale for choice C (Impaired social interaction) being the correct answer:
1. Antisocial personality disorder is characterized by a lack of regard for others and a pattern of violating their rights.
2. Individuals with this disorder often have difficulty forming and maintaining healthy relationships.
3. Impaired social interaction reflects the challenges the individual faces in relating to others.
4. This nursing diagnosis would address the core issue of social dysfunction in individuals with antisocial personality disorder.

Summary of why the other choices are incorrect:
A. Risk for self-mutilation - Not typically associated with antisocial personality disorder, more common in other mental health conditions.
B. Disturbed personal identity - Not a primary concern in antisocial personality disorder, which is more about behavior than identity.
D. Social isolation - While individuals with antisocial personality disorder may isolate themselves, impaired social interaction is a more direct and specific issue to address in their care.

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A person who was raped comes to the hospital for treatment. The person abruptly decides to decline treatment and leave the facility. Before this person leaves, the nurse should:

  • A. Say, "You may not leave until you're given prophylactic treatment for sexually transmitted diseases."
  • B. Provide written information about physical and emotional reactions the person may experience.
  • C. Explain the need and importance of HIV and pregnancy tests.
  • D. Give verbal information about legal resources.
Correct Answer: B

Rationale: The correct answer is B because providing written information about physical and emotional reactions respects the individual's autonomy and empowers them to make informed decisions. It also ensures they have resources to understand and cope with potential consequences. Choice A violates the individual's right to refuse treatment. Choice C focuses on specific tests without addressing the person's immediate concerns. Choice D, while important, is not as immediate or relevant as providing information on potential reactions.

A patient who is admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder spends a significant amount of time during the day and night washing their hands. On the third hospital day, the patient reports feeling better and more comfortable with the staff and other patients. The psychiatric-mental health nurse knows that the most appropriate nursing intervention is to:

  • A. acknowledge the ritualistic behavior each time and point out that it is inappropriate
  • B. allow the patient to carry out the ritualistic behavior, since it is helping them
  • C. collaborate with the patient to reduce the amount of time they engage in ritualistic behavior
  • D. ignore the ritualistic behaviors, and the behaviors will be eliminated due to lack of reinforcement
Correct Answer: C

Rationale: Collaborating to reduce rituals builds on the patient's progress, promoting control without enabling the behavior.

The nurse is considering making a child abuse or neglect report to protective services. To make the report, the nurse needs to:

  • A. Obtain the supervisor's permission to make the report
  • B. Have strong evidence that the abuse/neglect has occurred
  • C. Notify the parents of the intent to file the report
  • D. Have suspicions that the abuse has occurred
Correct Answer: D

Rationale: The correct answer is D because mandatory reporting laws typically require healthcare professionals to report suspected cases of child abuse or neglect. Having suspicions that abuse has occurred is sufficient to make a report, as it is the responsibility of the healthcare provider to protect the child's safety. Obtaining the supervisor's permission (choice A) may delay the report unnecessarily. Having strong evidence (choice B) is not necessary for making a report, as suspicions should be reported for further investigation. Notifying the parents (choice C) may jeopardize the safety of the child if the abuser is aware of the report.

A common form of mental disorder afflicting 10-20\% of the population is

  • A. schizophrenia
  • B. senile dementia
  • C. depression
  • D. delusional disorder
Correct Answer: C

Rationale: Depression affects 10-20\% of people at some point, making it far more common than schizophrenia or delusional disorders.

A parent who is very concerned about a 3-year-old son says, 'He likes to play with girls' toys. Do you think he is homosexual or mentally ill?' Which response by the nurse most professionally describes the current understanding of gender identity?

  • A. A child's interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood.
  • B. It's difficult to say for sure because the research is incomplete so far, but chances are that he will grow up to be a normal adult.
  • C. The research is incomplete, but many boys play with girls' toys and turn out normal as adults.
  • D. I am sure that whatever happens, he will be a loving son, and you will be a proud parent.
Correct Answer: A

Rationale: The correct answer is A because it accurately reflects the current understanding of gender identity. Children's interests in activities typically associated with the opposite gender are not unusual and are not indicative of sexual orientation or mental illness. Most children who exhibit cross-gender interests do not carry these into adulthood. This response emphasizes the normalcy of such behavior and provides reassurance to the parent.

Choice B is incorrect because it implies uncertainty based on incomplete research, which goes against the established understanding that cross-gender interests in childhood are common and not predictive of future outcomes.

Choice C is incorrect because it focuses on incomplete research and uses the term "normal as adults," which can perpetuate stigmas surrounding gender expression.

Choice D is incorrect because it does not address the parent's concerns about the child's behavior and does not provide accurate information about gender identity development.

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