The persistent eating of nonfood items such as clay, laundry starch, insects, leaves, or pebbles that lasts for longer than 1 month is called:
- A. pica.
- B. bulimia.
- C. rumination.
- D. regurgitation.
Correct Answer: A
Rationale: Sure! The correct answer is A: pica. Pica is the persistent consumption of nonfood items lasting longer than 1 month. This condition is characterized by cravings for non-nutritive, nonfood substances. Bulimia (B) is a different eating disorder involving binge eating followed by purging behaviors. Rumination (C) is the repeated regurgitation and rechewing of food. Regurgitation (D) is the act of bringing swallowed food back to the mouth without nausea or retching.
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The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client's:
- A. Level of consciousness
- B. Ability to perform activities of daily living
- C. Degree of reasoning, judgment, and thought processes
- D. Level of functioning memory
Correct Answer: B
Rationale: The correct answer is B: Ability to perform activities of daily living. A functional assessment in home health services focuses on evaluating the client's ability to independently perform daily tasks such as bathing, dressing, and preparing meals. This assessment helps determine the client's level of independence and need for assistance. Choices A, C, and D are incorrect because they do not directly assess the client's ability to perform activities of daily living, which is the primary purpose of a functional assessment in this context.
Suicidal tendency is most commonly seen with
- A. Schizophrenia
- B. Obsessive Disorders
- C. Mania
- D. Depression
Correct Answer: D
Rationale: Depression is the most common mental disorder associated with suicidal tendencies due to persistent feelings of hopelessness and despair.
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.
The medical records of a patient diagnosed with schizophrenia state that the patient has cognitive dysfunction. From this statement, the nurse can expect to see evidence of:
- A. anxiety, fear, and agitation.
- B. aggression, anger, hostility, or violence.
- C. blunted or flat affect or inappropriate affective responses.
- D. impaired memory and attention as well as formal thought disorder.
Correct Answer: D
Rationale: The correct answer is D because cognitive dysfunction in schizophrenia typically involves impaired memory, attention, and formal thought disorder. This is due to the underlying neurobiological and neurocognitive deficits associated with the disorder. Choices A, B, and C are incorrect because they primarily align with emotional and affective symptoms commonly seen in schizophrenia, not specifically cognitive dysfunction. Symptoms such as anxiety, fear, agitation, aggression, anger, hostility, violence, blunted affect, or inappropriate affective responses are more related to the emotional and behavioral aspects of schizophrenia, rather than cognitive deficits.
The main reasons that childhood obesity rates are higher among the areas of the highest poverty are
- A. Limited access to parks
- B. Limited access to recreational areas
- C. Children in areas of poverty eat less fruits and vegetables and more chips and soda
- D. All of the above
Correct Answer: D
Rationale: Poverty limits access to healthy food and recreation, driving higher obesity rates in children.