Age Specific Care

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Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder? The nurse should

  • A. develop an understanding of human sexual response.
  • B. assess the patient's sexual functioning and needs.
  • C. acquire knowledge of the patient's sexual roles.
  • D. clarify own personal values about sexuality.
Correct Answer: D

Rationale: The correct answer is D because clarifying the nurse's own personal values about sexuality is crucial before addressing a patient's sexual dysfunction. By understanding personal biases or judgments, the nurse can provide unbiased care. Assessing the patient's needs (B) should follow, as it directly addresses the patient's concerns. Developing an understanding of human sexual response (A) is important, but not as urgent as addressing personal values. Acquiring knowledge of the patient's sexual roles (C) is less relevant and should come after understanding the patient's needs.

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A nurse is caring for a patient with bulimia nervosa. The nurse should monitor for which of the following complications?

  • A. Nutritional deficiency and dehydration.
  • B. Respiratory failure and aspiration pneumonia.
  • C. Peripheral edema and hyperkalemia.
  • D. Mental confusion and decreased blood pressure.
Correct Answer: A

Rationale: The correct answer is A: Nutritional deficiency and dehydration. In bulimia nervosa, recurrent episodes of binge eating followed by purging can lead to electrolyte imbalances, dehydration, and malnutrition. Monitoring for nutritional deficiencies and dehydration is crucial in managing patients with bulimia nervosa.

Explanation for why other choices are incorrect:
B: Respiratory failure and aspiration pneumonia - Although purging behaviors can increase the risk of aspiration pneumonia, it is not as common as nutritional deficiencies and dehydration in patients with bulimia nervosa.
C: Peripheral edema and hyperkalemia - These complications are not typically associated with bulimia nervosa.
D: Mental confusion and decreased blood pressure - While electrolyte imbalances can lead to mental confusion, these specific complications are not as common as nutritional deficiencies and dehydration in patients with bulimia nervosa.

A patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless driven by someone else, has relinquished their job, and has few social contacts. The patient's treatment plan includes:

  • A. assertiveness training
  • B. biofeedback
  • C. stress management assistance
  • D. systematic desensitization
Correct Answer: D

Rationale: Systematic desensitization gradually exposes the patient to driving-related stimuli, reducing phobia through controlled steps.

A person suffering from hypoactive sexual desire disorder has:

  • A. Too little interest in sex
  • B. Too much interest in sex
  • C. An obsessive need to expose their genitals in public
  • D. A desire to witness suffering in other people
Correct Answer: A

Rationale: Hypoactive sexual desire disorder is defined by a persistent lack of sexual interest or desire.

In some countries, it is normal to defecate or urinate in public. This makes it clear that judgments of the normality of behavior are

  • A. culturally relative
  • B. statistical
  • C. a matter of subjective discomfort
  • D. related to conformity
Correct Answer: A

Rationale: Normality varies by culture, as behaviors acceptable in one society may be abnormal in another.

In Singapore, children and youth with disability in school age:

  • A. Are rare at prevalence of less than 1%
  • B. Receive services that are governed and funded by MSF only
  • C. Are at higher risk of developing mental health conditions than typical children
  • D. Need to have confirmed diagnosis before they can receive support in schools
Correct Answer: C

Rationale: School-age children with disabilities are at higher risk for mental health conditions due to social and functional challenges.

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