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What is an appropriate goal for a nurse working with a patient with anorexia nervosa?
- A. The patient will gain weight rapidly to restore nutritional balance.
- B. The patient will express satisfaction with their body image by the end of treatment.
- C. The patient will eat three meals daily and demonstrate healthy eating behaviors.
- D. The patient will be able to resume normal physical activities without fatigue.
Correct Answer: C
Rationale: The correct answer is C because setting a goal for the patient to eat three meals daily and demonstrate healthy eating behaviors is a more realistic and achievable target for someone with anorexia nervosa. This goal focuses on establishing regular eating habits and promoting a healthy relationship with food, which are crucial in the treatment of anorexia nervosa. Choices A and D are incorrect as rapid weight gain and resuming normal physical activities may not be safe or sustainable goals for someone with anorexia nervosa. Choice B is also incorrect because body image satisfaction is a complex issue that may not be directly addressed solely through treatment for anorexia nervosa.
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A nurse and social worker co-lead a reminiscence group for eight young-old adults. Which activity is most appropriate to include in the group?
- A. Mild aerobic exercise
- B. Singing a song from World War II
- C. Discussing national leadership during the Vietnam War
- D. Identifying the most troubling story in todays newspaper
Correct Answer: C
Rationale: Young-old adults (65-75 years) were attuned to conflicts during the Vietnam War. Discussing national leadership from that time (C) suits reminiscence therapy for this age group. Other options (A, B, D) are less relevant.
Which of the following is true regarding the management of oppositional behaviours in children?
- A. There are no circumstances in which oppositional behaviours are considered typical and expected of children
- B. Assessment of oppositional behaviours should consider individual, dyadic, systemic, and familial risk factors
- C. Psychosocial and pharmacological treatments are found to be equally effective in the management of oppositional behaviours
- D. Parenting involvement and training are not required in the management of oppositional behaviours
Correct Answer: B
Rationale: A comprehensive assessment considering individual, dyadic, systemic, and familial factors is true and essential for managing oppositional behaviors.
A patient with bipolar disorder has rapid cycles. To prepare teaching materials, the nurse anticipates which medication will be prescribed?
- A. Clonidine (Catapres)
- B. Phenytoin (Dilantin)
- C. Carbamazepine (Tegretol)
- D. Chlorpromazine (Thorazine)
Correct Answer: C
Rationale: Rationale: Carbamazepine (Tegretol) is commonly used in treating rapid cycling bipolar disorder due to its mood stabilizing properties. It helps regulate mood swings and prevent manic or depressive episodes. It is effective in managing rapid cycling symptoms. Clonidine (A) is used for ADHD and hypertension, not bipolar disorder. Phenytoin (B) is an anticonvulsant, not typically used for bipolar disorder. Chlorpromazine (D) is an antipsychotic mainly for schizophrenia, not specifically indicated for rapid cycling in bipolar disorder.
Retreat from reality by hallucinations and delusions and by social withdrawal typically characterizes
- A. somatoform disorders
- B. anxiety disorders
- C. psychotic disorders
- D. personality disorders
Correct Answer: C
Rationale: Psychotic disorders, like schizophrenia, involve hallucinations, delusions, and withdrawal, distinguishing them from other categories.
A new client admits to having been battered by her live-in boyfriend several times over the past 2 years. She states to the nurse, 'We plan to get married next June, and I think things will be better then. He is always so sorry afterward, that I think I can trust him to change.' Which intervention should be included in the client's teaching plan?
- A. Support her hope that the battering will end after they are married.
- B. Assist her to enroll in a class to learn techniques of self-defense.
- C. Emphasize that the battering pattern usually remains the same in frequency and severity over time.
- D. Assist her in developing an emergency plan, since the pattern of violence is likely to continue.
Correct Answer: D
Rationale: The correct answer is D: Assist her in developing an emergency plan, since the pattern of violence is likely to continue. This choice is correct because it focuses on safety planning, which is crucial for individuals in abusive relationships. By helping the client develop an emergency plan, the nurse is acknowledging the seriousness of the situation and providing practical strategies to ensure her safety. It is important to have a plan in place in case of future violence.
Explanation for the incorrect choices:
A: Supporting her hope that the battering will end after they are married is not appropriate as it may give false hope and does not address the immediate safety concerns.
B: Enrolling in a self-defense class may not be effective in situations of domestic violence as it can escalate the violence and may not address the underlying issues causing the abuse.
C: Emphasizing that the battering pattern usually remains the same in frequency and severity over time is not as helpful as developing a concrete safety plan to address the immediate danger.