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Major concerns of the elderly living alone in their home are: (Name 2)
- A. Safety
- B. Quality of life
- C. Support system
- D. Access to medical care
Correct Answer: C
Rationale: Support system (C) is another major concern for the elderly living alone, ensuring they have assistance when needed. The question asks for two concerns, with safety (A) as the first and support system as the second common issue.
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Several clients are members of a therapy group for clients with eating disorders. Of what particular use is this type of group therapy for treatment of eating disorders?
- A. Spending time in a group setting helps the client focus on things other than food.
- B. Interacting with clients who have similar problems helps prevent secondary gains related to being different.
- C. Focusing on problems experienced by other group members helps the client avoid having to deal with personal concerns.
- D. None of the above.
Correct Answer: B
Rationale: The correct answer is B because interacting with clients who have similar problems in a therapy group for eating disorders helps prevent secondary gains related to feeling different or unique in their struggles. This interaction can offer a sense of validation, support, and understanding, which can be crucial for individuals with eating disorders. It fosters a sense of belonging and reduces the feelings of isolation that often accompany these disorders.
Choice A is incorrect because the primary focus of group therapy for eating disorders is to address and work through issues related to food and body image, rather than distracting clients from these concerns.
Choice C is incorrect because the purpose of group therapy is to provide a safe space for clients to explore and address their personal concerns within a supportive group setting, not to avoid dealing with them.
Choice D is also incorrect as interacting with similar others in a therapy group has specific benefits for individuals with eating disorders.
Which statement by a patient with bulimia nervosa suggests the need for further education?
- A. I understand that purging is harmful to my health.
- B. I have learned to control my binge eating episodes.
- C. I feel that I can continue purging occasionally without harm.
- D. I know that therapy can help me change my eating behaviors.
Correct Answer: C
Rationale: The correct answer is C because it indicates a lack of awareness about the harmful consequences of purging. The statement suggests a rationalization of continuing the harmful behavior, showing a need for further education on the risks associated with purging. Choice A demonstrates understanding of the harm, B shows progress in controlling binge eating, and D acknowledges the potential benefits of therapy. Educating the patient about the dangers of purging is crucial in addressing their condition effectively.
People who experience psychotic disorders lose:
- A. The will to continue
- B. Contact with reality
- C. The ability to comply with treatment
- D. Contact with intellectual functions
Correct Answer: B
Rationale: Certainly! The correct answer is B: People who experience psychotic disorders lose contact with reality. Psychotic disorders involve a disconnection from reality, leading to hallucinations, delusions, and impaired thinking. This loss of contact with reality is a hallmark of psychotic disorders.
As for the other choices:
A: The will to continue - While individuals with psychotic disorders may struggle with motivation, this is not the primary feature of psychotic disorders.
C: The ability to comply with treatment - While compliance with treatment may be challenging, it is not the core aspect of psychotic disorders.
D: Contact with intellectual functions - While psychotic disorders can impact cognitive abilities, the defining characteristic is the loss of contact with reality rather than intellectual functions.
A victim of rape says, "My family is not very supportive."Â Which belief contributes to a negative family response?
- A. No one asks to be raped.
- B. Rape is an act of aggression.
- C. Rape should not be discussed.
- D. Anyone is a potential rape victim.
Correct Answer: C
Rationale: The correct answer is C: Rape should not be discussed. This belief contributes to a negative family response because it promotes silence and stigma around the topic of rape, leading to lack of support and understanding for the victim. By not discussing rape, the victim may feel isolated, ashamed, and unable to seek help or share their experience. Choices A and B are incorrect as they acknowledge the victim's innocence and the violent nature of rape. Choice D is incorrect as it recognizes the reality that anyone can be a victim, but it does not directly address the issue of discussing rape within the family.
Which complication should a nurse monitor for when treating a patient with bulimia nervosa who is experiencing frequent vomiting?
- A. Hypokalemia and dental enamel erosion.
- B. Hyperkalemia and elevated blood pressure.
- C. Severe dehydration and low blood sugar.
- D. Hypercalcemia and weight gain.
Correct Answer: A
Rationale: The correct answer is A: Hypokalemia and dental enamel erosion.
1. Bulimia nervosa involves frequent vomiting, leading to loss of potassium (hypokalemia) due to electrolyte imbalance.
2. Vomiting also damages tooth enamel, causing dental erosion.
3. Hyperkalemia and elevated blood pressure (choice B) are not typically associated with bulimia.
4. Severe dehydration and low blood sugar (choice C) are possible but not the primary concerns.
5. Hypercalcemia and weight gain (choice D) are not common complications of bulimia.