The Nurse Manager is discussing in their monthly staff nurses meeting the importance of understanding a client's culture. How do cultural considerations play a crucial role in understanding and addressing abusive situations involving older adults?

Cultural considerations have no impact on abusive situations involving older adults.

Abusive behaviors are consistent across all cultures.

Cultural diversity does not play a role in elder abuse prevention efforts.

Cultural beliefs and practices can influence perceptions of abuse and help-seeking behaviors.

Answer and Explanation

The Correct Answer is D

A. Cultural considerations have no impact on abusive situations involving older adults: This is incorrect. Culture significantly influences how abuse is perceived and addressed.

B. Abusive behaviors are consistent across all cultures: This is incorrect. Abusive behaviors and their recognition can vary widely across different cultural contexts.

C. Cultural diversity does not play a role in elder abuse prevention efforts: This is incorrect. Understanding cultural differences is essential for effective prevention and intervention.

D. Cultural beliefs and practices can influence perceptions of abuse and help-seeking behaviors: Correct. Different cultures have varying definitions of abuse and different attitudes toward seeking help, which can affect how abuse is identified and addressed.

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Correct Answer is []

Explanation

Potential Condition

Bulimia nervosa: The client has a BMI of 18.5, which is on the lower end of normal, indicating possible weight issues, but not the severe underweight typical of anorexia nervosa. The client describes cycles of binge eating followed by compensatory behaviors such as purging (using laxatives), which are characteristic of bulimia nervosa. The client expresses a preoccupation with food and body weight, and feelings of embarrassment about their eating habits, which align with bulimia nervosa.

Actions to Take

1. Assess binging and purging patterns: It's crucial to understand the frequency, triggers, and methods of binging and purging to tailor interventions effectively and to monitor the severity and progression of bulimia.

2. Encourage client to identify triggers for overeating: Identifying triggers for binging can help the client develop healthier coping mechanisms and reduce the occurrence of binge eating episodes.

Parameters to Monitor

1. Electrolyte levels: Frequent use of laxatives and purging behaviors can lead to electrolyte imbalances, which are potentially life-threatening and must be monitored regularly.

2. Frequency of compensatory behaviors: Tracking the frequency of purging behaviors (such as laxative use) helps assess the effectiveness of interventions and the client’s progress in reducing harmful behaviors.

Incorrect answers:

Actions to Take:

Assess for and discourage provocative or seductive behaviour: This is more relevant to histrionic personality disorder, not bulimia nervosa.
Weigh daily for the first week: While weighing the client can be part of the monitoring process, daily weigh-ins can increase anxiety and may not directly address the core issues of bulimia.
Assess for consumption of right food items: While dietary intake is important, focusing solely on food items without addressing the psychological aspects may not be effective for treating bulimia.

Parameters to Monitor:

Attention-seeking behaviours: More relevant to histrionic personality disorder than bulimia nervosa.
Signs of infection: Not directly relevant unless there is evidence of a related health issue or a compromised immune system, which is not indicated in the provided information.
Presence of lanugo: Lanugo is more commonly associated with anorexia nervosa due to severe malnutrition, not bulimia.

A. Evaluate liver function B. Check for blood glucose levels C. Assess for signs of infection D. Monitor for electrolyte alterations

Correct Answer is D

Explanation

A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.

B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.

C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.

D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.

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The Nurse Manager is discussing in their monthly staff nurses meeting the importance of understanding a client's culture. How do cultural considerations play a crucial role in understanding and addressing abusive situations involving older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is caring for a client with Anorexia. When reviewing the labs for a client with Anorexia, what is the nurse's priority?

Correct Answer is D

Explanation

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