Nokea
In Anorexia Nervosa (AN), which of the following is a characteristic clinical feature?
- A. Intense fear of gaining weight
- B. Intense desire to binge eat
- C. Intense desire to vomit
- D. Intense desire to keep themselves busy
Correct Answer: A
Rationale: Per DSM-5, an intense fear of gaining weight is a hallmark of Anorexia Nervosa, distinguishing it from other eating disorders.
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Many persons brought before a criminal court have mental illness, have committed minor offenses, and are off medications. The judge consults the nurse at the local community mental health center for guidance about how to respond when handling such cases. Which advice from the nurse would be most appropriate?
- A. Sometimes a little time in jail makes a person rethink what theyve been doing and puts them back on the right track.'
- B. Sentencing such persons to participate in treatment instead of incarcerating them has been shown to reduce repeat offenses.'
- C. Arresting these people helps them in the long run. Sometimes we cannot hospitalize them, but in jail they will get their medication.'
- D. Research suggests that special mental health courts do not make much difference so far, but outpatient commitment does seem to help.'
Correct Answer: B
Rationale: Research supports the use of special mental health courts that can sentence mentally ill persons to treatment instead of jail. Jail exposes vulnerable mentally ill persons to criminals, victimization, and high levels of stimulation and stress. Incarceration can also interrupt eligibility for benefits or lead to the loss of housing and often provides lower-quality mental health treatment in other settings. Recidivism rates for both mentally ill and non-mentally ill offenders are relatively high, so it does not appear that incarceration necessarily leads people to behave more appropriately. In addition, a criminal record can leave them more desperate and with fewer options after release. Research indicates that outpatient commitment is less effective at improving the mental health of mentally ill persons than was expected.
schizophrenia usually involves delusions of persecution and grandeur
- A. Catatonic
- B. Disorganized
- C. Paranoid
- D. Undifferentiated
Correct Answer: C
Rationale: Paranoid schizophrenia is marked by prominent delusions of persecution or grandeur.
A nurse is caring for a patient with bulimia nervosa. What is the most important aspect of the treatment plan?
- A. To encourage purging behaviors to eliminate binge episodes.
- B. To provide a structured meal plan and monitor food intake.
- C. To focus solely on achieving weight loss.
- D. To offer therapy focused on body image without addressing eating behaviors.
Correct Answer: B
Rationale: The correct answer is B: To provide a structured meal plan and monitor food intake. This is crucial in the treatment of bulimia nervosa as it helps establish regular eating patterns, prevent binge episodes, and promote healthy nutrition. Providing structure and monitoring food intake also helps in addressing underlying psychological issues related to disordered eating. Encouraging purging behaviors (choice A) can worsen the condition and lead to serious health complications. Focusing solely on weight loss (choice C) may reinforce unhealthy behaviors and neglect the holistic approach needed for recovery. Offering therapy focused only on body image (choice D) overlooks the critical component of addressing eating behaviors and nutritional needs.
A patient with anorexia nervosa is being treated with refeeding. Which complication should the nurse monitor for during this phase?
- A. Hyperkalemia and hyperglycemia.
- B. Hypophosphatemia and cardiac arrhythmias.
- C. Increased appetite and food cravings.
- D. Dehydration and hypotension.
Correct Answer: B
Rationale: The correct answer is B: Hypophosphatemia and cardiac arrhythmias. During refeeding in anorexia nervosa, there is a risk of rapid shifts in electrolytes, particularly phosphorus, leading to hypophosphatemia which can cause cardiac arrhythmias. This is a critical complication that the nurse should monitor for. Hyperkalemia and hyperglycemia (choice A) are less common in refeeding syndrome. Increased appetite and food cravings (choice C) are expected outcomes of refeeding, not complications. Dehydration and hypotension (choice D) are potential issues but are not specific to refeeding in anorexia nervosa.
The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as:
- A. akathisia
- B. akinesia
- C. bradykinesia
- D. dystonia
Correct Answer: A
Rationale: Akathisia is a common side effect of antipsychotics, characterized by restlessness often mistaken for worsening psychiatric symptoms.