Nokea
The client is describing her trip to town. She tells the nurse, 'I cold town yellow water girl outside below ground.' This speech disturbance is called:
- A. Neologism
- B. Word salad
- C. Flight of ideas
- D. Verbigeration
Correct Answer: B
Rationale: The correct answer is B: Word salad. This speech disturbance is characterized by a jumble of words that lack coherent meaning or connection. In this case, the client's words are disorganized and nonsensical. Neologism (A) is the creation of new words, not a jumble of existing words. Flight of ideas (C) involves rapid shifts in thoughts without a clear connection, not a jumble of words. Verbigeration (D) is the constant repetition of words or phrases, not a jumble of unrelated words.
You may also like to solve these questions
A 45-year-old married woman who works full time in a factory has recently been absent for 3-day periods on several occasions. Each time, she returned to work wearing dark glasses. Facial and body bruises were apparent. Her supervisor became suspicious that she was a victim of battering and referred her to the occupational health nurse. What should the nurse first focus on as she meets the patient?
- A. Notifying the police of the abuse
- B. Documenting the woman's injuries
- C. Establishing trust and building rapport
- D. Collecting evidence to prosecute the abuser
Correct Answer: C
Rationale: The correct answer is C: Establishing trust and building rapport. The nurse should first focus on building a trusting relationship with the patient to create a safe environment for her to disclose any abuse she may be experiencing. By establishing trust and rapport, the nurse can gain the patient's confidence and encourage her to open up about her situation. This approach is crucial in ensuring the patient feels supported and empowered to seek help.
Incorrect choices:
A: Notifying the police of the abuse - This may jeopardize the patient's safety and could worsen the situation if she is not ready to involve law enforcement.
B: Documenting the woman's injuries - While documenting injuries is important, it should not be the first step as it may further distress the patient without addressing the underlying issue.
D: Collecting evidence to prosecute the abuser - Prosecution should not be the initial focus; the priority should be on the patient's well-being and safety.
Which of the following is a characteristic of anorexia nervosa?
- A. Binge eating followed by purging.
- B. Refusal to maintain a healthy weight and an intense fear of gaining weight.
- C. Frequent overeating episodes without purging behaviors.
- D. Extreme preoccupation with body image and excessive exercise.
Correct Answer: B
Rationale: The correct answer is B because anorexia nervosa involves a refusal to maintain a healthy weight, an intense fear of gaining weight, and a distorted body image. This disorder is characterized by restrictive eating habits leading to significant weight loss. Individuals with anorexia nervosa often perceive themselves as overweight despite being underweight. Choices A, C, and D are incorrect as they describe characteristics more closely associated with bulimia nervosa, binge eating disorder, and orthorexia, respectively. Binge eating followed by purging (A) is a behavior seen in bulimia nervosa, frequent overeating episodes without purging (C) is typical of binge eating disorder, and extreme preoccupation with body image and excessive exercise (D) may be seen in orthorexia or other eating disorders, but not specifically in anorexia nervosa.
A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:
- A. Do you often feel fat?
- B. Who plans the family meals?
- C. What do you eat in a typical day?
- D. What do you think about your present weight?
Correct Answer: C
Rationale: Rationale:
C is correct because it directly addresses the assessment of eating patterns by inquiring about the patient's actual food intake. This question provides valuable information on the quantity and quality of food consumed, aiding in diagnosing and treating eating disorders.
Other choices are incorrect:
A is focused on body image and self-perception, not eating patterns.
B is about family dynamics, not the patient's individual eating habits.
D pertains to body weight perception, not the specifics of the patient's diet.
The subjective internal feeling of being either male of female is called
- A. Gender identity
- B. Sexuality
- C. Gender identity disorder
- D. Sexual orientation
Correct Answer: A
Rationale: Gender identity refers to one's internal sense of being male, female, or another gender, distinct from sexual orientation or physical traits.
Prior to discharge, the nurse plans to teach the client and family about relapse. Which items will the nurse include in the teaching?
- A. Recognition of warning signs of relapse
- B. Notify the nurse of warning signs present for more than one month
- C. Lower medication dosage to manage emerging side effects
- D. Use street drugs judiciously and only in small amounts
Correct Answer: A
Rationale: The correct answer is A because recognizing warning signs of relapse is crucial for early intervention. By identifying these signs, the client and family can seek help promptly, preventing a full relapse. Choice B is incorrect as waiting for signs to persist for more than one month delays intervention. Choice C is incorrect as altering medication dosage without medical advice can be dangerous. Choice D is incorrect as using street drugs is never a safe or appropriate way to manage relapse.