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A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:
- A. Do you often feel fat?
- B. Who plans the family meals?
- C. What do you eat in a typical day?
- D. What do you think about your present weight?
Correct Answer: C
Rationale: Rationale:
C is correct because it directly addresses the assessment of eating patterns by inquiring about the patient's actual food intake. This question provides valuable information on the quantity and quality of food consumed, aiding in diagnosing and treating eating disorders.
Other choices are incorrect:
A is focused on body image and self-perception, not eating patterns.
B is about family dynamics, not the patient's individual eating habits.
D pertains to body weight perception, not the specifics of the patient's diet.
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One bed is available on the eating disorders unit. Which patient should be admitted? The patient whose assessment findings show the weight dropped from:
- A. 150 to 102 pounds over a 4-month period.
- B. 120 to 90 pounds over a 3-month period.
- C. 130 to 100 pounds over a 2-month period.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A because the patient has experienced a significant weight drop from 150 to 102 pounds over a 4-month period. This represents a loss of 48 pounds over a relatively longer period, indicating a more severe and prolonged issue with weight loss. The other choices show weight drops of 30 pounds over 3 months (B) and 30 pounds over 2 months (C), which are also concerning but not as severe or long-lasting as the situation described in choice A. Choice D is incorrect as at least one patient should be admitted based on the information provided.
A friend brings a teenager to the emergency department. The friend found the patient unconscious in a bedroom at a party. Semen is observed on the patient's underclothes. Priority actions by the nurse should focus on:
- A. Preserving rape evidence.
- B. Maintaining the patient's airway.
- C. Obtaining a description of the rape.
- D. Determining what drugs were ingested.
Correct Answer: B
Rationale: The correct answer is B: Maintaining the patient's airway. This is the priority action because the patient is unconscious and airway patency is crucial for survival. Preserving rape evidence (A) can be important, but the patient's immediate health takes precedence. Obtaining a description of the rape (C) can wait until the patient's condition stabilizes. Determining what drugs were ingested (D) is important but secondary to ensuring the patient can breathe.
Which of the following statements by your ADHD childs parents indicate they need further teaching?
- A. We will establish firm but reasonable limits on his behavior
- B. We will give him his medication at night so it wont decrease his appetite
- C. We will set him up in a special program at his school so we he will get extra attention
- D. We will work to ensure he gets 8 hours of sleep a night
Correct Answer: B
Rationale: Stimulant medications are given for treatment of ADHD. These can cause insomnia if given later in the day.
Which of the following is a technique used to address stuttering?
- A. Purposeful speech
- B. Practical speech
- C. Delayed speech
- D. Prolonged speech
Correct Answer: D
Rationale: Prolonged Speech: A technique teaching new speech patterns to address stuttering, altering phrasing, articulation, and respiratory patterns.
According to Freud, an individual who experiences problems during the phallic stage of development may have a poorly developed superego. This construct is most relevant to planning care for a client who has the DSM-IV-TR diagnosis of:
- A. Obsessive-compulsive personality disorder
- B. Schizoid personality
- C. Borderline personality disorder
- D. Antisocial personality disorder
Correct Answer: D
Rationale: Step 1: Freud's phallic stage is when the superego develops.
Step 2: Antisocial personality disorder is associated with a poorly developed superego.
Step 3: Individuals with antisocial personality disorder often lack empathy and have a disregard for rules.
Step 4: This behavior aligns with Freud's concept of a weak superego.
Step 5: Therefore, the correct answer is D, Antisocial personality disorder.
Summary: A: Obsessive-compulsive personality disorder is characterized by perfectionism, not related to a weak superego. B: Schizoid personality is marked by social detachment, not directly linked to superego development. C: Borderline personality disorder involves instability in relationships and self-image, not specifically tied to superego development.