Nokea
Irrational and very specific fears that persist even when there is no real danger to a person are called
- A. anxieties
- B. dissociation's
- C. phobias
- D. obsessions
Correct Answer: C
Rationale: Phobias are specific, irrational fears persisting despite no real threat, distinct from general anxiety.
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Care planning requires that a nurse recognize that the dynamic focus directing a patient with anorexia nervosa is:
- A. managing weight gain.
- B. controlling personal stressors.
- C. maintaining a sense of control.
- D. avoiding social interactions.
Correct Answer: C
Rationale: Step 1: Anorexia nervosa is characterized by an intense fear of gaining weight and a distorted body image.
Step 2: Patients often use strict control over food intake as a way to cope with underlying emotional issues.
Step 3: Maintaining a sense of control is crucial in managing anorexia nervosa as it addresses the core psychological aspects driving the disorder.
Step 4: Managing weight gain (A) is not the primary focus as patients may resist gaining weight due to their fear.
Step 5: Controlling personal stressors (B) may be important but does not address the underlying issue of control related to food and body.
Step 6: Avoiding social interactions (D) does not address the core psychological need for control and can further isolate the patient.
What is a key indicator of mental development in preschool children?
- A. Ability to count to 10
- B. Following multi-step instructions
- C. Recognizing colors
- D. Walking independently
Correct Answer: B
Rationale: Following multi-step instructions (B) reflects cognitive processing and memory, key mental development indicators in preschoolers. Counting (A) and colors (C) are simpler skills, while walking (D) is physical, not mental.
An appropriate short-term goal for a withdrawn, isolated patient diagnosed with schizophrenia is:
- A. The patient will participate in all therapeutic activities.'
- B. The patient will define major barriers to communication.'
- C. The patient will talk about feelings of withdrawal in group.'
- D. The patient will consistently interact with an assigned nurse.'
Correct Answer: D
Rationale: Step 1: Interacting with an assigned nurse helps build a therapeutic relationship, essential for engaging withdrawn patients.
Step 2: Consistent interaction promotes trust and communication, aiding in the patient's socialization.
Step 3: This goal is specific, measurable, achievable, relevant, and time-bound, aligning with the SMART criteria.
Summary:
A: Participation in all activities may overwhelm the patient.
B: Defining barriers to communication is too advanced for someone withdrawn.
C: Talking about feelings in a group setting may be too challenging for a withdrawn patient.
Which statement by a patient with bulimia nervosa indicates a need for further education?
- A. I understand that purging can damage my body in the long term.
- B. I feel better after purging, but I know it's not a healthy behavior.
- C. I believe I can control my eating and purging behaviors without help.
- D. I know I need therapy to address my unhealthy relationship with food.
Correct Answer: C
Rationale: Rationale:
Choice C indicates a need for further education because it suggests the patient believes they can manage bulimia without help. Patients with bulimia often require professional intervention for successful treatment. Choices A, B, and D acknowledge the need for therapy, understanding of long-term consequences, and recognition of unhealthy behaviors, respectively.
What is the priority intervention for a nurse caring for a patient with bulimia nervosa?
- A. Assist the patient to identify triggers to binge eating.
- B. Provide remedial consequences for weight loss.
- C. Assess for signs of impulsive eating.
- D. Explore needs for health teaching.
Correct Answer: A
Rationale: The correct answer is A: Assist the patient to identify triggers to binge eating. This intervention is crucial for managing bulimia nervosa as it helps address the root cause of the behavior. By identifying triggers, the patient can develop strategies to avoid or cope with them, ultimately reducing the frequency of binge eating episodes. Choices B, C, and D are incorrect because providing consequences for weight loss may reinforce unhealthy behaviors, assessing for impulsive eating is not addressing the underlying triggers, and exploring needs for health teaching is not as immediate and targeted as identifying triggers for binge eating.