Population Based Care

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Which of the following is a priority intervention for a patient with bulimia nervosa who has been purging?

  • A. Ensure the patient has access to therapy and counseling.
  • B. Assess and monitor the patient's electrolyte levels.
  • C. Encourage the patient to maintain a balanced diet.
  • D. Provide education about the dangers of eating disorders.
Correct Answer: B

Rationale: The correct answer is B: Assess and monitor the patient's electrolyte levels. This is the priority intervention because purging in bulimia nervosa can lead to electrolyte imbalances, which can be life-threatening. Monitoring electrolyte levels is crucial to prevent complications such as cardiac arrhythmias or organ damage.

A: Ensuring access to therapy and counseling is important but not the priority in this case where immediate medical attention is needed for potential electrolyte imbalances.
C: Encouraging a balanced diet is essential in the long term but not the immediate priority when dealing with the potential medical complications of purging.
D: Providing education about dangers is important, but it is not the most critical intervention at this moment compared to monitoring electrolyte levels.

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It is a secondary dementia indicated by loss of recent memory and disorientation to time and place.

  • A. Alzheimer's disease.
  • B. Vascular dementia.
  • C. Lewy body dementia.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A: Alzheimer's disease. Alzheimer's disease is a common type of dementia characterized by progressive cognitive decline, including loss of recent memory and disorientation to time and place. This is due to the accumulation of amyloid plaques and neurofibrillary tangles in the brain. Vascular dementia (B) is caused by reduced blood flow to the brain, leading to cognitive impairment. Lewy body dementia (C) is characterized by the presence of abnormal protein deposits called Lewy bodies in the brain. Choosing D (None of the above) would be incorrect as Alzheimer's disease specifically matches the description provided in the question.

Which of the following statements about attention deficit hyperactivity disorder (ADHD) are true? (Select one tha does not apply)

  • A. ADHD is more common in boys than in girls
  • B. Children with ADHD tend to be of below-average intelligence
  • C. Even though we think of ADHD as a disorder in children, adults can also have it
  • D. Children with ADHD are often treated with the use of stimulants
Correct Answer: B

Rationale: Children with ADHD tend to be of above normal intelligence but often dont function at those levels. The causes of ADHD are more associated with brain dysfunction and genetic factors. Correct statements are: A (more common in boys), D (treated with stimulants), E (benefit from behavior modification), F (can persist into adulthood).

Why does more green space result in stronger neighborhoods?

  • A. Stronger neighborhood social ties
  • B. Decreased crime
  • C. More vegetation in a building, the fewer the crimes
  • D. All the above
Correct Answer: D

Rationale: Green spaces foster social ties, reduce crime, and improve community well-being, strengthening neighborhoods.

In DSM-IV-TR intellectual disabilities are divided into a number of degrees of severity, depending primarily on the range of IQ score provided by the sufferer. One of these is Mild Mental Retardation, corresponding to an IQ score between:

  • A. 60-65 to 80
  • B. 40-55 to 60
  • C. 50-55 to 70
  • D. 70-75 to 90
Correct Answer: C

Rationale: Mild Mental Retardation: Defined by DSM-IV-TR as an IQ score between 50-55 to 70.

A patient with schizophrenia has been stabilized in the Crisis Center and is about to be discharged. He will be living with his family, but the family knows nothing about the patient's illness, its treatment, or the role they can play in his recovery. Which activity would be most beneficial for the family to attend?

  • A. Psychoanalytic group
  • B. Psychoeducational group
  • C. Individual counseling
  • D. Family therapy
Correct Answer: B

Rationale: The correct answer is B: Psychoeducational group. This option is most beneficial as it provides education and information to the family about the patient's illness, treatment options, and ways they can support his recovery. It helps them understand the challenges the patient faces and equips them with practical strategies to assist in his recovery process.

A: Psychoanalytic group focuses on exploring unconscious patterns of behavior and may not provide the necessary education and tools for the family to support the patient effectively.

C: Individual counseling is focused on the patient and may not involve the family members in understanding the illness and their role in the patient's recovery.

D: Family therapy involves the whole family in therapy sessions, but may not specifically focus on educating them about schizophrenia and its treatment, which is crucial for their support.

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