Patsy is a 7-year-old girl who has been repeatedly hospitalized for symptoms of GI upset, chronic diarrhea, and electrolyte imbalance. The medical staff have not been able to determine the cause of her symptoms
Her mother always demands that additional lab work be run to determine what is wrong with her daughter. A nurse on the pediatric unit has noticed that Patsy seems to get better when her mother is not allowed to visit. The nurse suspects that Patsy may:
A) Be a victim of factitious disorder by proxy.
B) Be a victim of psychological abuse.
C) Be at risk for developing psychosomatic illnesses as an adult.
D) Be experiencing secondary gain from her hospitalizations.
A
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Ethical considerations related to situations of medical futility relate to which of the following?
a. Views about whether the intervention is prolonging living or prolonging dying b. Values and views of involved parties regarding what is benefit or burden c. Values of involved parties regarding availability and cost of the medical care d. a and b e. All of the above
A 45-year-old patient shows marked cognitive impairment that has developed progressively over several months. A family member reports the patient's father had early-onset dementia
What research-based information can be given to the family in response to their concerns about the patient developing early-onset dementia? a. The risk for developing the condition is about 50% only if both parents were affected. b. The greatest risk exists for relatives of individuals diagnosed with Alzheimer disease before age 55 years. c. Added risk is present only for people with Down syndrome, so relatives without Down syndrome are essentially safe. d. Results of the research on genetic predisposition and its effect on the development of early-onset dementia are still unclear.
The progression of early onset Alzheimer's disease compared to late onset is:
a. about the same b. far slower in early onset c. somewhat slower in early onset d. much faster in early onset
Which of the following are considered assistive devices?
A. Wheelchairs and transfer aids B. Easy-grip mug and plate food guard C. Button hook and long-handled shoe horn D. All of these