Nokea
Persons who are excessively narcissistic, dependent, or antisocial are characterized as having
- A. somatoform disorders
- B. generalized anxiety
- C. conversion reactions
- D. personality disorders
Correct Answer: D
Rationale: Narcissistic, dependent, and antisocial traits define personality disorders, affecting interpersonal functioning.
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A nurse is caring for a patient with bulimia nervosa. Which intervention should the nurse prioritize?
- A. Assist the patient in identifying triggers for binge-purge cycles.
- B. Focus solely on achieving a normal weight.
- C. Provide daily exercise routines to increase physical fitness.
- D. Discourage discussions about food to avoid increasing anxiety.
Correct Answer: A
Rationale: The correct answer is A. Assisting the patient in identifying triggers for binge-purge cycles is crucial in the treatment of bulimia nervosa. By understanding the triggers, the patient can learn to recognize and manage them effectively, leading to a reduction in the frequency of binge-purge episodes. This intervention helps address the root cause of the disorder and promotes long-term recovery.
Choice B is incorrect because solely focusing on achieving a normal weight overlooks the complex psychological factors involved in bulimia nervosa. Choice C is incorrect as providing daily exercise routines may exacerbate the patient's obsession with weight and body image. Choice D is incorrect as discouraging discussions about food can hinder the patient's ability to address their relationship with food and emotions.
A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, 'Sure I overbilled. Why not? Everybody takes advantage of the government. They have too many rules. No one can abide by all of them.' These statements can be assessed as showing:
- A. glibness and charm.
- B. superficial remorse.
- C. lack of guilt feelings.
- D. excessive suspiciousness.
Correct Answer: C
Rationale: The correct answer is C: lack of guilt feelings. The physical therapist's statements indicate a lack of remorse or guilt about committing Medicare fraud. He minimizes his actions and justifies them by blaming the government's rules. This demonstrates a lack of ethical responsibility and empathy for the consequences of his fraudulent behavior.
A: Glibness and charm typically involve being smooth-talking and charismatic, which is not evident in the therapist's statements.
B: Superficial remorse would imply some level of acknowledgment of wrongdoing, which is not present in the therapist's justifications.
D: Excessive suspiciousness refers to unfounded mistrust or paranoia, which is not demonstrated in the therapist's statements.
What environmental conditions should the nurse arrange for a patient with delirium and altered perceptions of their environment?
- A. Provide a quiet, well-lit room without glare or shadows.
- B. Have the patient sit by the nurse's desk while awake.
- C. Reduce room lighting to minimize overstimulation.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A because a quiet, well-lit room without glare or shadows helps reduce environmental stimuli that can exacerbate delirium and altered perceptions. This environment promotes calmness and clarity for the patient. Choice B is incorrect as it may increase distractions and stimuli. Choice C may lead to inadequate lighting that can worsen confusion. Choice D is incorrect as environmental modifications are crucial for managing delirium.
Why did the risk of acquiring disease decrease for people living in cities since the 1850's?
- A. The 'sanitation revolution' improved the water supplies
- B. Urban residents received more regular vaccinations
- C. Antibiotics were more readily used
- D. All of the above
Correct Answer: D
Rationale: The sanitation revolution, along with vaccinations and antibiotics, collectively reduced disease risk in cities since the 1850s.
You are caring for a 13-year-old boy with a diagnosis of conduct disorder. Which of the following would you be most likely to expect given this diagnosis?
- A. Severe separation anxiety from parents
- B. Making up stories to make him appear more important
- C. History of cruelty to schoolmates and pets
- D. Insomnia and anorexia nervosa
Correct Answer: C
Rationale: Conduct disorder is associated with long-term problems with defiance, rule-breaking, and violating the basic rights of others, such as cruelty to peers and animals.