Nokea
Which assessment finding is most associated with bulimia nervosa?
- A. Prominent parotid glands
- B. Peripheral edema
- C. Thin, brittle hair
- D. Amenorrhea
Correct Answer: A
Rationale: The correct answer is A: Prominent parotid glands. This is associated with bulimia nervosa due to repeated vomiting, which can lead to enlargement of the parotid glands. This is known as parotid gland hypertrophy. The other choices (B: Peripheral edema, C: Thin, brittle hair, D: Amenorrhea) are more commonly associated with anorexia nervosa rather than bulimia nervosa. Edema is a sign of malnutrition in anorexia, while thin, brittle hair and amenorrhea are also common in anorexia due to severe weight loss and hormonal disturbances.
You may also like to solve these questions
What is a common consequence of long-term purging in patients with bulimia nervosa?
- A. Improved digestive health and better nutrient absorption.
- B. Increased risk of dehydration and electrolyte imbalances.
- C. Improved self-esteem and body image.
- D. Decreased risk of cardiovascular problems and hypertension.
Correct Answer: B
Rationale: The correct answer is B because long-term purging in patients with bulimia nervosa can lead to increased risk of dehydration and electrolyte imbalances. Purging behaviors such as vomiting or laxative abuse can disrupt the body's fluid and electrolyte balance, potentially causing dehydration and electrolyte imbalances. These imbalances can have serious health consequences, including cardiac arrhythmias, muscle weakness, and kidney damage.
Incorrect choices:
A: Improved digestive health and better nutrient absorption - Purging does not improve digestive health or nutrient absorption; rather, it can lead to nutrient deficiencies.
C: Improved self-esteem and body image - Purging behaviors are harmful and do not lead to improved self-esteem or body image.
D: Decreased risk of cardiovascular problems and hypertension - Purging behaviors can actually increase the risk of cardiovascular problems due to electrolyte imbalances and dehydration.
Emphasize that the battering pattern usually remains the same in frequency and severity.
- A. By emphasizing that the battering pattern usually remains the same in frequency, it indicates a consistent and recurring nature of the behavior in question.
- B. The battering pattern may change over time.
- C. The battering pattern is unpredictable.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A because emphasizing that the battering pattern usually remains the same in frequency highlights the consistent and recurring nature of the behavior. This implies that the pattern is predictable and stable. Choice B is incorrect because it contradicts the idea of consistency in the battering pattern. Choice C is incorrect because it suggests unpredictability, which goes against the notion of the pattern remaining the same. Choice D is incorrect because option A aligns with the concept of the battering pattern being consistent in frequency and severity.
Which of the following would indicate that a therapeutic activity program for a client with Alzheimer's disease had been successful? Client demonstrates:
- A. Accurate recent memory, positive emotional response, increased verbal expression
- B. Increased attention span, verbal expression of remote memory, positive emotional response
- C. Positive use of perseveration, reduction in use of habitual skills, improved abstract reasoning
- D. Positive emotional response, ability to remember multiple steps, accurate recent memory
Correct Answer: B
Rationale: The correct answer is B because increased attention span, verbal expression of remote memory, and positive emotional response indicate successful therapeutic program for Alzheimer's client. Attention span and verbal expression show cognitive improvement, while positive emotional response indicates overall well-being. Option A lacks improvement in remote memory. Option C mentions reduction in habitual skills, which is not desirable. Option D emphasizes recent memory and remembering multiple steps, but doesn't cover improvement in attention span or remote memory.
Which environmental factor most hinders mental development?
- A. Lack of sleep
- B. Poor nutrition
- C. Excessive screen time
- D. Noisy surroundings
Correct Answer: B
Rationale: Poor nutrition (B) most hinders mental development by limiting brain growth and function. Sleep (A), screen time (C), and noise (D) impact development, but nutrition is foundational.
A woman consults the nurse practitioner because she has not achieved orgasm for 2 years, despite having been sexually active. This is an example of
- A. Paraphilic disorder.
- B. Female orgasmic disorder.
- C. Genito-pelvic pain/penetration disorder.
- D. Female sexual interest/arousal disorder.
Correct Answer: B
Rationale: The correct answer is B: Female orgasmic disorder. This woman's inability to achieve orgasm despite being sexually active aligns with the diagnostic criteria for Female Orgasmic Disorder in the DSM-5. This disorder is characterized by a marked delay, absence, or decreased intensity of orgasm, which causes distress or interpersonal difficulty. Other choices are incorrect because Paraphilic Disorder refers to atypical sexual interests, Genito-pelvic pain/penetration disorder involves pain during intercourse, and Female Sexual Interest/Arousal Disorder pertains to lack of interest in or arousal during sexual activity.