Age Specific Patient Care Quizlet

Age Specific Patient Care Quizlet Related

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While auditing care plans for clients with eating disorders, the nurse realizes that a nursing diagnosis appropriate for a client with anorexia nervosa as well as for a client with bulimia nervosa is:

  • A. ineffective denial.
  • B. adult failure to thrive.
  • C. chronic low self-esteem.
  • D. risk for imbalanced body temperature.
Correct Answer: C

Rationale: Rationale for Correct Answer (C): Chronic low self-esteem is appropriate for both anorexia nervosa and bulimia nervosa clients as these disorders are often associated with poor body image and low self-worth. Clients with these disorders commonly struggle with feelings of inadequacy and self-criticism, leading to chronic low self-esteem. This nursing diagnosis addresses the underlying emotional issues that are prevalent in both anorexia and bulimia.

Summary of Incorrect Choices:
A: Ineffective denial is not appropriate as clients with these disorders are often aware of their condition and may even have distorted perceptions about their body image.
B: Adult failure to thrive is not suitable as this nursing diagnosis is typically used for older adults who are experiencing a decline in health and functioning, not specifically related to eating disorders.
D: Risk for imbalanced body temperature is not relevant as it does not address the psychological and emotional aspects that are central to anorexia and bulimia.

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A nurse would assess for which feature in a patient diagnosed with anorexia nervosa without bingeing or purging?

  • A. Extroverted personality traits
  • B. Abuse of diuretics and laxatives
  • C. Claims of sexual activity
  • D. Denial of hunger at all times
Correct Answer: D

Rationale: The correct answer is D: Denial of hunger at all times. In anorexia nervosa without bingeing or purging, patients typically deny hunger despite severe weight loss. This is due to their distorted body image and fear of gaining weight. Assessing for denial of hunger helps in understanding their mindset and severity of the disorder.

Explanation of why other choices are incorrect:
A: Extroverted personality traits - Anorexia nervosa is often associated with introverted personality traits, not extroverted.
B: Abuse of diuretics and laxatives - This behavior is more characteristic of bulimia nervosa, not anorexia nervosa without bingeing or purging.
C: Claims of sexual activity - This choice is unrelated to the typical features of anorexia nervosa without bingeing or purging.

Which situation is consensual sex rather than rape?

  • A. A husband forces vaginal sex when he comes home intoxicated from a party. The wife objects.
  • B. A woman's lover pleads with her to have oral sex. She gives in but then regrets the decision.
  • C. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.
  • D. A dentist gives anesthesia for a procedure and then has intercourse with the unconscious patient.
Correct Answer: B

Rationale: The correct answer is B because, although the woman initially gave in to her lover's plea for oral sex, she later regretted the decision. Consent must be freely given without coercion or manipulation. In this scenario, the woman's regret indicates that her initial agreement was not genuine consent. Choice A involves force and lack of consent. Choice C depicts a violent and non-consensual act. Choice D involves taking advantage of a vulnerable and unconscious individual, which is also non-consensual.

The onset of schizophrenia most commonly occurs during the decade of age in the:

  • A. Teens
  • B. 20s
  • C. 30s
  • D. 40s
Correct Answer: B

Rationale: The correct answer is B (20s) because research shows that the peak onset of schizophrenia is typically during late adolescence to early adulthood, which aligns with the age range of the 20s. During this period, the brain undergoes significant developmental changes, making individuals more vulnerable to developing schizophrenia. Choices A (Teens), C (30s), and D (40s) are incorrect because while schizophrenia can develop at any age, the majority of cases emerge during the 20s. Schizophrenia rarely starts in the teenage years (A), and onset in the 30s (C) or 40s (D) is less common compared to the 20s.

Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?

  • A. Functional ability and emotional status
  • B. Chronological age and sexual function
  • C. Economic status and sources of income
  • D. Developmental history, interests, and activities
Correct Answer: A

Rationale: Information related to functional ability and emotional status provides an overview of patient problems and abilities. It guides selection of interventions and services to meet identified needs. The distracters reflect information of relevance, but are not of highest priority.

While planning care for a preschool child who has been physically and sexually abused, the nurse includes play therapy because it assists the child to:

  • A. Act out aggression in an acceptable manner
  • B. Express feelings that cannot easily be verbalized
  • C. Interact with other children in the appropriate age group
  • D. Learn adaptive behaviors through acting
Correct Answer: B

Rationale: The correct answer is B: Express feelings that cannot easily be verbalized. Play therapy allows preschool children to express their emotions, trauma, and experiences through play activities, as they may not have the verbal skills to communicate their feelings effectively. This form of therapy helps the child process their emotions and experiences in a safe and non-threatening environment.

Incorrect Choices:
A: Acting out aggression in an acceptable manner is not the primary goal of play therapy for abused children. It is more about emotional expression and healing.
C: Interacting with other children in the appropriate age group is not the focus of play therapy for abused children. The primary goal is to address the trauma and emotional distress.
D: Learning adaptive behaviors through acting is not the main purpose of play therapy for abused children. It is more about emotional healing and expression.

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