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Which beliefs by a nurse facilitate provision of safe, effective care for older adult patients? Select one tha does not apply.
- A. Sexual interest declines with aging.
- B. Older adults are able to learn new tasks.
- C. Aging results in a decline in restorative sleep.
- D. Older adults are prone to become crime victims.
Correct Answer: A
Rationale: Older adults can learn new tasks (B), experience a decline in restorative sleep (C), and are prone to crime (D), aiding effective care. Sexual interest doesn't universally decline (A), and isolation isn't typical (E); these are myths.
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A community mental health nurse receives a new client for his caseload. The diagnosis of the client is residual schizophrenia. Documentation states that the client has a number of negative symptoms. Which symptom would the nurse expect to assess in the client?
- A. Bizarre, somatic delusions
- B. Disorganized speech pattern
- C. Catatonic posturing
- D. Emotional blunting
Correct Answer: D
Rationale: The correct answer is D: Emotional blunting. In residual schizophrenia, negative symptoms involve deficits in normal emotional responses and behaviors. Emotional blunting refers to a reduction in the intensity of emotional expression, which is commonly seen in clients with residual schizophrenia. This symptom can include a lack of facial expressions, reduced vocal inflections, and overall flat affect.
Choice A (Bizarre, somatic delusions) is incorrect as it refers to a positive symptom of schizophrenia involving distorted beliefs about the body.
Choice B (Disorganized speech pattern) is incorrect as it is characteristic of disorganized schizophrenia, not residual schizophrenia.
Choice C (Catatonic posturing) is incorrect as it is a symptom of catatonic schizophrenia, not residual schizophrenia.
A community health nurse visits an elderly person whose spouse died 6 months ago. Two vodka bottles are in the trash. When the nurse asks about alcohol use, this person says, 'I get lonely and drink a little to help me forget.' Select the nurses most therapeutic intervention.
- A. Assess whether this patient is drinking and driving
- B. Advise the person not to drink alone because the risks for injury increase
- C. Teach the person about risks for alcoholism and suggest other coping strategies
- D. Arrange for the person to attend an Alcoholics Anonymous meeting for older adults
Correct Answer: D
Rationale: This person needs help with alcohol abuse as well as social involvement. An AA meeting for older adults will provide an opportunity for peer bonding as well as strategies for coping with stress without abusing alcohol. The distracters will not be therapeutic in this instance.
In Anorexia Nervosa (AN), which of the following is a characteristic clinical feature?
- A. Intense fear of gaining weight
- B. Intense desire to binge eat
- C. Intense desire to vomit
- D. Intense desire to keep themselves busy
Correct Answer: A
Rationale: Per DSM-5, an intense fear of gaining weight is a hallmark of Anorexia Nervosa, distinguishing it from other eating disorders.
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.
Which data gathered from the assessment of a family with a schizophrenic member would be of greatest importance in discharge planning for the patient?
- A. The patient is the middle sibling.
- B. The patient's mother is a talented artist.
- C. The patient's paternal grandfather was considered 'eccentric.'
- D. The patient becomes anxious when family members are critical of one another.
Correct Answer: D
Rationale: The correct answer is D because understanding how the patient reacts to family dynamics is crucial for discharge planning. Anxiety triggered by family conflict can impact the patient's well-being post-discharge. Choices A, B, and C are less relevant as they do not directly address the patient's immediate needs or potential stressors. Middle sibling status, maternal artistic talent, and paternal grandfather's eccentricity are interesting but not as directly impactful on the patient's discharge planning compared to the patient's response to family conflicts.