Nokea
A nurse is working with a patient diagnosed with bulimia nervosa. Which of the following would indicate the need for further education?
- A. I know that purging is harmful to my health, but I continue to do it.
- B. I feel better after purging, but I realize it is not a long-term solution.
- C. I can control my eating and purging behaviors without help from others.
- D. I am working with my healthcare team to improve my eating habits and emotional health.
Correct Answer: C
Rationale: The correct answer is C because it indicates a lack of awareness about the severity of the disorder. Choice A acknowledges the harm of purging but struggles to stop, showing insight. Choice B recognizes the temporary relief of purging but understands the need for a better solution. Choice D demonstrates active engagement with healthcare professionals for support. In contrast, choice C suggests overconfidence in managing the disorder independently, which can hinder recovery progress. It is crucial for individuals with bulimia nervosa to acknowledge the need for professional help and support.
You may also like to solve these questions
Which statement would indicate the use and abuse of power in a violent family situation?
- A. I admit I was mad and yelling and swinging my fists in the air, but I wasn't trying to hit our child. I was letting off some steam. My spouse just overreacted.'
- B. When she found out I watched television instead of taking the kids to the park, she starting yelling about how I don't care about the kids. She has no right to get mad at me. I should have some time to myself.'
- C. I thought he would like this new recipe. I should have known better. I will not do that again. He was right. He works all day and should come home to a good meal that he can enjoy. It's not too much to ask of a wife.'
- D. All I did was tell him I need some money. I can't understand why he can't just give me what I need. I stay home and take care of his house and kids, and I have to almost beg before he gives me money to spend on myself.'
Correct Answer: C
Rationale: The correct answer is C because it reflects an imbalance of power within the family dynamic. The statement indicates an acceptance of blame and a submissive attitude, suggesting a power dynamic where one person feels the need to please and appease the other. This behavior can indicate an abuse of power by the dominant individual, leading to a controlling and potentially manipulative relationship.
In contrast, the other choices do not clearly demonstrate an abuse of power. Choice A shows anger management issues but does not necessarily indicate a power dynamic. Choice B focuses on a disagreement over parenting responsibilities rather than a power struggle. Choice D highlights financial disagreements but does not explicitly show an abuse of power.
Therefore, Choice C is the most indicative of power abuse in a family situation.
In Singapore, children and youth with disability in school age:
- A. Are rare at prevalence of less than 1%
- B. Receive services that are governed and funded by MSF only
- C. Are at higher risk of developing mental health conditions than typical children
- D. Need to have confirmed diagnosis before they can receive support in schools
Correct Answer: C
Rationale: School-age children with disabilities are at higher risk for mental health conditions due to social and functional challenges.
A young, newly married adult says, 'My spouse never lets me out of sight. I'm not allowed to do anything on my own, and I'm constantly accused of cheating.' Which nursing communication is most therapeutic for this patient?
- A. Have you discussed the behavior with your spouse?'
- B. How does your spouse's behavior make you feel?'
- C. Are there other examples of controlling behaviors on your spouse's part?'
- D. Do you feel that your spouse has anything to be upset or suspicious about?'
Correct Answer: B
Rationale: The correct answer is B: "How does your spouse's behavior make you feel?" This question focuses on the patient's emotions, allowing them to express their feelings and validating their experiences. It shows empathy and encourages the patient to explore and understand their own emotional responses to the situation.
Choice A focuses on addressing the behavior directly without acknowledging the patient's emotions. Choice C asks for more examples of controlling behavior, which may feel judgmental. Choice D suggests that the spouse's behavior is justified, which can further invalidate the patient's feelings. Overall, choice B is the most therapeutic as it promotes emotional exploration and support.
The nurse knows that stimulant medication for ADHD should be administered:
- A. At bedtime, to coincide with rising cortisol levels
- B. Only on school days to improve performance
- C. On an empty stomach
- D. With breakfast and lunch
Correct Answer: D
Rationale: Because these medications can contribute to insomnia, it is best to administer them earlier in the day with food. These are generally taken daily unless the doctor orders a drug holiday.
Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder? The nurse should
- A. develop an understanding of human sexual response.
- B. assess the patient's sexual functioning and needs.
- C. acquire knowledge of the patient's sexual roles.
- D. clarify own personal values about sexuality.
Correct Answer: D
Rationale: The correct answer is D because clarifying the nurse's own personal values about sexuality is crucial before addressing a patient's sexual dysfunction. By understanding personal biases or judgments, the nurse can provide unbiased care. Assessing the patient's needs (B) should follow, as it directly addresses the patient's concerns. Developing an understanding of human sexual response (A) is important, but not as urgent as addressing personal values. Acquiring knowledge of the patient's sexual roles (C) is less relevant and should come after understanding the patient's needs.