Nokea
A nurse would assess for which feature in a patient diagnosed with bulimia nervosa?
- A. Introverted personality traits
- B. Abuse of diuretics and laxatives
- C. Disinterest in sexual activity
- D. Denial of hunger at all times
Correct Answer: B
Rationale: The correct answer is B because abuse of diuretics and laxatives is a common behavior in individuals with bulimia nervosa to control weight. This behavior is known as purging. Choice A is incorrect as personality traits vary among individuals with bulimia nervosa. Choice C is incorrect as disinterest in sexual activity is not a typical feature of this disorder. Choice D is incorrect as individuals with bulimia nervosa often experience episodes of binge eating, indicating they do experience hunger at times.
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In the UK, the Special Education Needs & Disability Act of 2001 extended the rights of individuals with intellectual disabilities to be educated in mainstream schools. Schools are now required to draw up which of the following in order to facilitate the inclusion of pupils with intellectual disabilities and to make reasonable adjustments so that they are not disadvantaged?
- A. Inclusion strategies
- B. Facilitation strategies
- C. Accessibility strategies
- D. Availability strategies
Correct Answer: C
Rationale: Accessibility Strategies: Programmes extending rights of individuals with intellectual disabilities to be educated according to their needs in mainstream schools.
What role does play have in mental development?
- A. Minimal
- B. Develops social skills only
- C. Enhances imagination and reasoning
- D. Physical benefits only
Correct Answer: C
Rationale: Play enhances imagination and reasoning (C), fostering cognitive growth. It's not minimal (A), not just social (B), or only physical (D), per child development research.
A 76-year-old is regressed, indifferent, and responds to others only when they initiate an interaction. What form of group therapy would be most useful to promote resocialization?
- A. Remotivation
- B. Activity group
- C. Psychotherapy
- D. Reminiscence (life review)
Correct Answer: A
Rationale: Remotivation therapy helps to resocialize regressed and apathetic patients by focusing on a single topic, creating a bridge to reality as group members talk about the world in which they live and work and hobbies related to the topic. Group leaders give members acceptance and appreciation. Group psychotherapy would not be effective for this patient. An activity group does not address the patients problem.
A patient reports, 'My brain is tapped. The government has implanted a device in my head.' What outcome would the nurse identify as being appropriate for the patient to achieve within 1 week of admission?
- A. Taking antipsychotic medication as prescribed without objection
- B. Giving coherent data to support beliefs that the brain is 'tapped'
- C. Interpreting reality correctly by stating no 'brain tap' has been implanted
- D. Reporting feeling less anxious about having the government listening to interior thoughts
Correct Answer: C
Rationale: The correct answer is C because it reflects the goal of promoting reality testing and challenging the patient's delusional beliefs. By helping the patient interpret reality correctly and recognize that the implanted device is not real, the nurse can support the patient in overcoming their delusions and improving their mental health.
Choice A is incorrect as simply taking medication does not address the underlying delusional belief. Choice B is incorrect as it validates and reinforces the patient's delusion, which is not therapeutic. Choice D is incorrect as it does not address the core issue of the patient's delusional belief and may not lead to long-term improvement in mental health.
A client has been diagnosed with a dementia secondary to cerebral disease. The family members note the client 'has not been as sharp as he once was' and that he has developed urinary incontinence and a gait disturbance. They attributed the first symptom to normal aging but were alarmed by the latter two symptoms. Based on this history, which of the following should come to mind?
- A. Normal pressure hydrocephalus
- B. Vitamin B12 deficiency
- C. Hepatic disease
- D. Tuberculosis
Correct Answer: A
Rationale: Step 1: The client presents with urinary incontinence and a gait disturbance, suggestive of normal pressure hydrocephalus (NPH) due to cerebral disease.
Step 2: NPH is characterized by the triad of cognitive decline, gait disturbances, and urinary incontinence.
Step 3: Symptoms of NPH can mimic normal aging but are distinct from other conditions.
Step 4: Vitamin B12 deficiency (B) primarily presents with anemia and neurological symptoms, not the triad seen in NPH.
Step 5: Hepatic disease (C) typically presents with symptoms related to liver dysfunction, not the triad of NPH.
Step 6: Tuberculosis (D) manifests with respiratory symptoms and constitutional symptoms, not the cognitive decline and gait issues seen in NPH.