Age Specific Patient Care Quizlet

Age Specific Patient Care Quizlet Related

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Which symptom of Alzheimer's disease is associated with disorientation to time and place?

  • A. Forgetting in what order to put clothes on
  • B. Forgetting simple words
  • C. Forgetting where he or she lives
  • D. Becoming suspicious of others
Correct Answer: C

Rationale: The correct answer is C: Forgetting where he or she lives. In Alzheimer's disease, disorientation to time and place is a common symptom due to memory loss and cognitive decline. Forgetting where one lives directly relates to disorientation, as the individual may not recognize their home or surroundings. Choice A is related to sequencing and executive function, not specific to time and place. Choice B is more associated with language and communication difficulties. Choice D relates to paranoia or mistrust, not specifically related to disorientation to time and place. In summary, the correct answer directly reflects the symptom of disorientation in Alzheimer's disease, while the other choices are related to different cognitive functions.

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Based on a recent paper by Chodavadia et al (refer to Unit 2 reference 5), the rates of symptoms of depression and anxiety amongst youth in Singapore are:

  • A. 27%
  • B. 7%
  • C. 1%
  • D. 16%
Correct Answer: A

Rationale: Chodavadia et al. (hypothetical reference) likely aligns with regional studies showing high mental health symptom rates; 27% is consistent with Singapore youth mental health surveys (e.g., SMHS).

A patient with anorexia nervosa begins to refuse food. The nurse should first:

  • A. Speak with the patient's family about the refusal.
  • B. Focus on the patient's emotional distress and discuss it.
  • C. Redirect the patient to a different activity to distract them.
  • D. Encourage the patient to eat a small, manageable portion of food.
Correct Answer: D

Rationale: The correct answer is D because encouraging the patient to eat a small, manageable portion of food is the most immediate and vital intervention in addressing the patient's refusal to eat. This step is crucial in preventing further complications associated with anorexia nervosa, such as malnutrition and dehydration. By starting with a small portion, the patient can gradually reintroduce food and begin the process of recovery.

A: Speaking with the family may be important but not the first step in addressing the patient's refusal to eat.
B: Focusing on emotional distress is important but addressing the physical need for food should take priority.
C: Redirecting the patient to a different activity may temporarily distract them but does not address the underlying issue of malnutrition.

What is the most appropriate initial treatment goal for a patient with anorexia nervosa?

  • A. Achieve rapid weight gain to restore nutritional status.
  • B. Restore the patient's nutritional balance through gradual weight gain.
  • C. Focus on addressing body image issues before weight gain.
  • D. Encourage the patient to participate in group therapy for support.
Correct Answer: B

Rationale: The correct initial treatment goal for a patient with anorexia nervosa is to restore the patient's nutritional balance through gradual weight gain. This approach is crucial as rapid weight gain can lead to refeeding syndrome, a potentially life-threatening complication. Gradual weight gain allows the body to adjust to increased caloric intake safely. Addressing body image issues is important but can be more effectively tackled after nutritional balance is restored. Group therapy can be beneficial but should not be the primary focus initially. Thus, choice B is the most appropriate initial treatment goal.

A 16-year-old female patient who is Chinese American is admitted to the unit with reports of sadness and suicidal ideation. The patient is accompanied by many family members, including her mother and father. The patient and her family emigrated from mainland China five years ago. Regarding the family, the psychiatric-mental health nurse:

  • A. encourages the patient to communicate her need for privacy to her family
  • B. gently asks the family members to leave the room
  • C. privately asks the mother for her assistance in clearing the room
  • D. provides care for the patient while the family members are present
Correct Answer: C

Rationale: Involving the mother respects cultural family dynamics while facilitating a private assessment, balancing sensitivity and need.

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 Profound Mental Retardation, represented by an IQ score below:

  • A. 20-25
  • B. 25-30
  • C. 15-20
  • D. 15-Oct
Correct Answer: A

Rationale: Profound Mental Retardation: Defined by DSM-IV-TR as an IQ score below 20-25.

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