Nokea
A 15-year-old boy was previously active in a band and saved money to buy a special guitar. What would a nurse assess as an early sign of depression in this boy?
- A. He gives up the band to spend time with his girlfriend.
- B. He spends all of his time at the library studying to qualify for the honor society.
- C. He gives his guitar away and spends his time listening to music in his room.
- D. He withdraws all of his money out of the bank to buy an expensive leather jacket.
Correct Answer: C
Rationale: A major depression is characterized by a prolonged behavioral change from baseline that interferes with school, family life, and age-specific activities, frequently signaled by giving prized possessions away.
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How would the nurse identify a member of the child guidance team who is a medical doctor with special training in psychoanalytic theory?
- A. Psychiatrist
- B. Psychoanalyst
- C. Psychologist
- D. Counselor
Correct Answer: A
Rationale: The psychiatrist is a medical doctor with special training in psychoanalytic theory.
The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa. Which assessment finding(s) would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply.)
- A. Amenorrhea
- B. Severe weight loss
- C. Oily skin
- D. Hypertension
- E. Lanugo on back
Correct Answer: A,B,E
Rationale: Primary symptoms of anorexia nervosa include severe weight loss, amenorrhea, and lanugo hair over the back and extremities.
The nurse working with children from dysfunctional families must be prepared to address what associated problem(s)? (Select all that apply.)
- A. Lack of trust
- B. Acting out
- C. Exaggerated self-confidence
- D. Blaming others for problems
- E. Depression
Correct Answer: A,B,E
Rationale: Children from dysfunctional families exhibit lack of trust, act out, and show signs of depression.
The nurse explains that use of stimulants will decrease hyperactivity in the autistic child. What is a negative aspect of stimulants?
- A. Sedating the child
- B. Impairing cognition
- C. Causing hypotension
- D. Creating fluid retention
Correct Answer: B
Rationale: Stimulants that decrease hyperactivity in autistic children also impair cognition and may increase the potential for self-injuring behavior.
A nurse is hired to work in a psychiatric facility on a unit specializing in obsessive-compulsive disorders (OCD). Which diagnoses might the nurse expect to encounter? (Select all that apply.)
- A. Trichotillomania
- B. Hoarding disorder
- C. Excoriation disorder
- D. Body dysmorphic disorder
- E. Oppositional defiant disorder
Correct Answer: A,B,C,D
Rationale: Trichotillomania, hoarding disorder, excoriation disorder, and body dysmorphic disorder are forms of OCD, while oppositional defiant disorder is not.