HESI - Psychosocial/Geriatrics
Behaviors of a parent who abused their child that is hospitalized
- Denies beating the child - Avoids talking about the situation - Exhibits an emotional nonchalance Denying the beating requires fabricating a story about how the physical injury occurred, and the parent will often blame the child for the injury. In most instances, an abusive parent tries to avoid talking about the situation as a means of reducing guilt and repressing the action. Responses usually are inappropriate, exaggerated, or absent. Little concern is expressed for the child because this will require verbal expression and acceptance of the action.
Characteristics that accompany obsessive-compulsive disorder
- Doubts - Fears - Indecisiveness - Ritualistic behavior
Characteristics of borderline personality
- Impulsivness - Lability of mood - Self-destruction behavior Clients with borderline personality disorder often lead complex, chaotic lives because of their inability to control or limit impulses. Extremes of emotions, ranging from apathy and boredom to anger, may be displayed within short periods. Impulsive self-destructive acts such as reckless driving, spending money, and engaging in unsafe sex often result in negative consequences.
Pathophysiology of alhzlmers
- The presence of amyloid plaques is associated with brain tissue destruction. When an older person's brain atrophies, some unusual deposits of iron are scattered on nerve cells. Throughout the brain, areas of deeply staining amyloid, called senile plaques, can be found; these plaques represent the end stage of destruction of brain tissue.
Signs of UTI in elderly
- Confusion - Incontinence - Slight rise in temperature
A client with dementia is confused about what day it is. Which statement made by the nurse is an example of validation therapy? A.) "No, try to be in your sense of reality." B.) "Yes, today is the day that you just mentioned." C.) "You should try improving your awareness level." D.) "Try to recall your past memories associated with the day."
B.) "Yes, today is the day that you just mentioned." Validation therapy is an approach to communication with a confused client with dementia. In this approach, the nurse accepts the description of the time and place as stated by the client. The statement "Yes, today is the day that you just mentioned" represents the use of validation therapy. Asking the client to reorient her- or himself to reality and asking her or him to improve her or his awareness level are examples of the reality orientation approach. Reminiscence is an approach that asks the client to recall her or his past experience.
Which food choices would indicate the client with alcohol use disorder understands the teaching about foods high in thiamine? A.) Fish, aged cheese, and breads B.) Lean beef, organ meat, and nuts C.) Poultry, milk products, and eggs D.) Green vegetables, lentils, and citrus fruits
B.) Lean beef, organ meat, and nuts
Which defense mechanism is most often used by parents who abuse an infant or toddler? A.) Identification B.) Denial C.) Rationalization D.) Displacement
D.) Displacement Displacement is a defense mechanism in which one's pent-up feelings toward others who are a threat are discharged on others who are less threatening. Identification is the unconscious wish to be like another person. Denial is ignoring, avoiding, or refusing to recognize painful realities. Rationalization is making acceptable or plausible excuses for an undesirable behavior.
