Nokea
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.
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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 child is diagnosed with attention-deficit hyperactivity disorder (ADHD). Which characteristics would the nurse assess in this child? (Select all that apply.)
- A. Social anxiety
- B. Impulsivity
- C. Hyperactivity
- D. Distractibility
- E. Inattention
Correct Answer: B,C,D,E
Rationale: ADHD is characterized by inattention, hyperactivity, impulsivity, and distractibility.
How does the nurse describe a person who is bulimic?
- A. Severely underweight
- B. Alternates binge eating with purging
- C. Introverted perfectionist
- D. Has extremely close family relationships
Correct Answer: B
Rationale: Bulimia is characterized by alternating binge eating and purge behavior.
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 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.