Nokea
In refeeding syndrome that develops during nutritional rehabilitation of a patient with eating disorder, what is the most important biochemical change?
- A. Hypomagnesemia
- B. Hypophosphatemia
- C. Hypokalaemia
- D. Hypoglycaemia
Correct Answer: B
Rationale: Hypophosphatemia is the most critical biochemical change in refeeding syndrome, as it can lead to severe complications like cardiac arrest.
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The client in whom schizophrenia has been diagnosed usually is medicated with an ____ drug.
- A. Antianxiety
- B. Antipsychotic
- C. Antidepressant
- D. Antihypertensive
Correct Answer: B
Rationale: The correct answer is B: Antipsychotic. Antipsychotic drugs are specifically designed to treat symptoms associated with schizophrenia, such as hallucinations and delusions. These drugs help regulate dopamine levels in the brain, which are often imbalanced in individuals with schizophrenia. Antianxiety drugs (A) are not typically used to treat schizophrenia as they target different symptoms. Antidepressants (C) may be used in conjunction with antipsychotics, but they are not the primary treatment for schizophrenia. Antihypertensive drugs (D) are used to treat high blood pressure and are not indicated for schizophrenia.
Appropriate teaching for a patient with bulimia nervosa who binges and purges is:
- A. Not to skip meals or restrict food.
- B. To eat a small meal after purging.
- C. To eat a large breakfast but no lunch.
- D. None of the above.
Correct Answer: A
Rationale: Step-by-step rationale:
1. A: Not skipping meals or restricting food promotes regular eating patterns, helps stabilize blood sugar levels, and reduces the urge to binge.
2. B: Eating a small meal after purging could reinforce the binge-purge cycle and is not a healthy approach.
3. C: Eating a large breakfast but skipping lunch can lead to imbalanced eating habits and is not recommended for treating bulimia nervosa.
4. D: None of the above options provide a comprehensive and effective approach to managing bulimia nervosa symptoms.
A PET scan involves the injection of
- A. radioactive sugar
- B. iodine
- C. metal particles
- D. xenon gas
Correct Answer: A
Rationale: PET scans use radioactive glucose (sugar) to measure brain activity, aiding in diagnosing mental disorders.
Which of the following statements is true about the differences in mental health problems between children and adults?
- A. Children are affected by the same stressors as adults, but to different degrees and with different manifestations
- B. Childrens mental health disorders are generally much less severe and resolve more quickly than do those of adults
- C. Childrens mental health problems are different from those of adults because their brains are wired differently
- D. Children have better means of working off stresses than do adults
Correct Answer: A
Rationale: Mental health disorders in children have many similarities and differences from the same disorders in adults. The other responses are not correct.
A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, "Describe what you think about your present weight and how you look."Â Which response would be most consistent with anorexia nervosa?
- A. "I'm fat and ugly."Â
- B. "What I think about myself is my business."Â
- C. "I'm grossly underweight, but I cover it well."Â
- D. "I'm a few pounds overweight, but I can live with it."Â
Correct Answer: A
Rationale: The correct answer is A because the response indicates a distorted body image, a common characteristic of anorexia nervosa. Anorexia nervosa is characterized by an intense fear of gaining weight and a distorted perception of body image, leading individuals to see themselves as overweight despite being underweight. In this case, the patient's response of "I'm fat and ugly" demonstrates a negative perception of their weight and appearance, which aligns with the distorted body image seen in anorexia nervosa.
Choices B, C, and D are incorrect:
B: "What I think about myself is my business" - This response does not indicate a distorted body image or negative perception of weight and appearance, which are key features of anorexia nervosa.
C: "I'm grossly underweight, but I cover it well" - While this response acknowledges being underweight, it does not reflect the distorted body image commonly seen in anorexia nervosa.
D: "I'm a