Nokea
Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?
- A. Functional ability and emotional status
- B. Chronological age and sexual function
- C. Economic status and sources of income
- D. Developmental history, interests, and activities
Correct Answer: A
Rationale: Information related to functional ability and emotional status provides an overview of patient problems and abilities. It guides selection of interventions and services to meet identified needs. The distracters reflect information of relevance, but are not of highest priority.
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Anorexia nervosa is very common in teenage girls
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Anorexia nervosa is prevalent among teenage girls due to societal pressures and developmental factors.
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.
Which nursing intervention would be most helpful for addressing this behavior?
- A. Hold a weekly staff meeting to discuss feelings and conflicts related to such behavior.
- B. Confront the patient and advise her that if she continues this, she will lose privileges.
- C. Get all staff to agree that any and all inappropriate behavior will simply be ignored.
- D. Evaluate the patient for a medication increase or transfer to a long-term facility.
Correct Answer: A
Rationale: The correct answer is A because holding a weekly staff meeting to discuss feelings and conflicts related to the behavior promotes open communication and teamwork. This intervention allows staff to address the behavior in a collaborative and supportive manner, leading to a better understanding of the underlying issues and potential solutions.
Choice B is not the best option as confronting the patient may escalate the situation and create a power struggle, potentially worsening the behavior. Choice C of ignoring inappropriate behavior can lead to a lack of accountability and enable further misconduct. Choice D of evaluating the patient for a medication increase or transfer may not address the root cause of the behavior and could overlook the importance of addressing it through communication and teamwork.
A woman was bound, taken to a remote location, and raped at gunpoint. When found, she was examined and treated in the emergency department. Which aspect of this crisis produced the greatest amount of psychological trauma?
- A. The threat to her life
- B. Collection of evidence
- C. Physical pain experienced
- D. Being in a remote location
Correct Answer: A
Rationale: The correct answer is A: The threat to her life. This aspect produced the greatest psychological trauma as the fear of losing one's life triggers intense emotional distress and long-lasting psychological effects such as anxiety and PTSD. The threat of death during a traumatic event can lead to profound feelings of helplessness and vulnerability. In comparison, while the other aspects (B: Collection of evidence, C: Physical pain experienced, D: Being in a remote location) also contribute to the trauma experienced, they do not elicit the same level of fear and existential threat as the possibility of losing one's life.
Which of the following is a priority for a nurse caring for a patient with anorexia nervosa during the refeeding phase?
- A. Providing a high-calorie diet immediately to speed up weight gain.
- B. Monitoring the patient closely for signs of refeeding syndrome.
- C. Promoting the patient's independence in meal choices.
- D. Encouraging exercise to improve physical health.
Correct Answer: B
Rationale: The correct answer is B: Monitoring the patient closely for signs of refeeding syndrome. Refeeding syndrome is a potentially life-threatening condition that can occur when a malnourished individual is fed too quickly. Monitoring for signs such as electrolyte imbalances, fluid shifts, and organ dysfunction is crucial to prevent complications. Providing a high-calorie diet immediately (A) can exacerbate refeeding syndrome. Promoting independence in meal choices (C) may not be appropriate if the patient needs close monitoring. Encouraging exercise (D) can be harmful during the refeeding phase as the body needs time to recover and regain strength.