Nokea
A teenager has been using laxatives for constipation but shows signs of erosion of tooth enamel. Which disorder is the client most likely experiencing?
- A. Bulimia nervosa
- B. Binge eating disorder
- C. Idiopathic constipation
- D. Irritable bowel syndrome
Correct Answer: A
Rationale: Bulimia nervosa involves binge eating and purging, leading to tooth enamel erosion.
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A nurse is caring for a person with a potential dysfunction in the health-perception–health-management pattern. Which of the following nursing interventions would most likely be performed?
- A. Arranging for home delivery of medication from the pharmacy
- B. Providing education regarding the dangers of smoking
- C. Instituting visiting nurse services for blood pressure checks
- D. Providing direct observed therapy for tuberculosis medications
Correct Answer: B
Rationale: Education about the dangers of smoking addresses the risk and provides the person with information to improve health practices, fostering active participation in health management.
Which young adult exemplifies Kohlberg’s postconventional level of moral reasoning?
- A. A 28-year-old who helps a friend move despite calling in sick
- B. A 22-year-old man who uses marijuana on weekends
- C. A 30-year-old woman who volunteers at a soup kitchen
- D. A 35-year-old working long hours for a promotion
Correct Answer: C
Rationale: Kohlberg’s postconventional stage involves moral reasoning based on what is considered “right” for the greater good, as exemplified by volunteering at a soup kitchen.
In response to the growing elderly population, community health nurses should do which of the following?
- A. Work with the state and local departments of health to increase nursing home beds.
- B. Work with local health departments to increase recreational activities for the elderly
- C. Work with the board of education to emphasize the importance of physical activity for children
- D. Work with local nursing schools to emphasize the importance of geriatric training
Correct Answer: B
Rationale: Local health departments should focus on increasing recreational activities to improve the health of the elderly.
A nurse is reviewing the chart of a 15-year-old girl who has been sexually active since the age of 12. Which of the following findings would be of most concern?
- A. She does not perform self-breast exams.
- B. She has never had a Pap test.
- C. She had one HIV test performed at the age of 13.
- D. She does not use birth control pills.
Correct Answer: B
Rationale: Sexual activity at a young age warrants cervical cancer screening, and the lack of a Pap test is concerning.
Which of the following are symptoms or warning signs of anorexia nervosa?
- A. Lack of menstruation in females
- B. Preoccupation with food
- C. Eating only small amounts of certain foods
- D. Dramatic weight fluctuations
Correct Answer: A
Rationale: Symptoms of anorexia nervosa include extreme preoccupation with food, lack of menstruation, and dramatic weight loss.