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When discussing obesity, which comment best indicates that the client is using the coping mechanism of rationalization to deal with being overweight?
- A. I have many health risks from being obese.
- B. I eat because I am under stress.
- C. I know you don't like me because I'm fat.
- D. I can't help being overweight; it's in my genes.
Correct Answer: D
Rationale: Blaming genetics for obesity is rationalization, as it justifies the condition by attributing it to an uncontrollable factor.
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If the client is typical of others of similar age, the nurse can anticipate the client as having which age-related problems? Select all that apply.
- A. Becoming cynical
- B. Losing patience
- C. Developing hostility
- D. Having periods of regret
- E. Experiencing episodes of depression
Correct Answer: D,E
Rationale: Regret and depression are common in late adulthood as individuals reflect on life, per Erikson's integrity vs. despair stage.
Which action is best to use initially when trying to help the angry client maintain self-control?
- A. Administer a sedative.
- B. Apply four-point restraints.
- C. Use a calm voice and approach.
- D. Place the client in seclusion.
Correct Answer: C
Rationale: A calm voice and approach de-escalates anger by creating a non-threatening environment, encouraging the client to regain control.
Which of the following historical data is the greatest risk factor for hypochondriasis?
- A. The client experienced parental neglect as a child.
- B. The client has a sibling with schizophrenia.
- C. The client experienced parental overprotection as a child.
- D. The client has a history of substance abuse.
Correct Answer: C
Rationale: Parental overprotection can foster excessive health concerns, contributing to hypochondriasis by reinforcing anxiety about physical symptoms.
Which statement regarding the effects of chronic marijuana smoking is most accurate? Select all that apply.
- A. It suppresses motivation.
- B. It is physically addicting.
- C. It can cause lung cancer.
- D. It can suppress respirations.
- E. It can suppress reproductive hormones.
Correct Answer: A,C,E
Rationale: Chronic marijuana use is associated with amotivational syndrome, increased lung cancer risk due to carcinogens, and suppression of reproductive hormones like testosterone.
If the nurse notes the following symptoms after the client begins taking sertraline (Zoloft), which one is most likely drug-related?
- A. Polyuria
- B. Diplopia
- C. Drooling
- D. Insomnia
Correct Answer: D
Rationale: Insomnia is a common side effect of sertraline, an SSRI, due to its activating effects on the central nervous system.