Nokea
Which intervention would be most appropriate for a patient with bulimia nervosa who is at risk for electrolyte imbalance?
- A. Offer the patient water or an electrolyte replacement solution.
- B. Encourage the patient to engage in regular physical activity.
- C. Administer a diuretic as prescribed by the physician.
- D. Withhold food to reduce the risk of further weight gain.
Correct Answer: A
Rationale: The correct answer is A: Offering the patient water or an electrolyte replacement solution. This intervention is appropriate because patients with bulimia nervosa are at risk for electrolyte imbalances due to purging behaviors. Providing water or electrolyte replacement solution helps to replenish lost electrolytes and maintain proper balance.
Option B is incorrect as excessive physical activity can further deplete electrolytes. Option C is inappropriate as administering a diuretic can worsen electrolyte imbalances. Option D is also incorrect as withholding food can exacerbate the patient's condition and increase the risk of electrolyte imbalances.
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The subjective internal feeling of being either male of female is called
- A. Gender identity
- B. Sexuality
- C. Gender identity disorder
- D. Sexual orientation
Correct Answer: A
Rationale: Gender identity refers to one's internal sense of being male, female, or another gender, distinct from sexual orientation or physical traits.
A client in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been feeling anxious. For what other condition should the nurse assess this client?
- A. Anxiety.
- B. Depression.
- C. Eating disorder.
- D. None of the above.
Correct Answer: A
Rationale: Step 1: The client disclosed feeling anxious.
Step 2: Anxiety is a common comorbidity with irritable bowel syndrome.
Step 3: Assessing for anxiety allows for holistic treatment.
Step 4: Anxiety can impact the client's physical health.
Step 5: Therefore, assessing for anxiety is crucial.
Summary:
B: Depression - While depression is important, the client disclosed anxiety.
C: Eating disorder - Not directly related to the client's disclosure.
D: None of the above - Incorrect, as assessing for anxiety is necessary.
A drug causes muscarinic receptor blockade. The nurse will assess the patient for
- A. Dry mouth.
- B. Gynecomastia.
- C. Pseudoparkinsonism.
- D. Orthostatic hypotension.
Correct Answer: A
Rationale: The correct answer is A: Dry mouth. Muscarinic receptor blockade inhibits the action of acetylcholine, leading to decreased salivary gland secretion and causing dry mouth. Gynecomastia (B) is associated with antiandrogen medications. Pseudoparkinsonism (C) is a side effect of antipsychotic medications that block dopamine receptors. Orthostatic hypotension (D) is a side effect of alpha-1 adrenergic receptor blockade.
The quality of life of people with intellectual disabilities can be improved significantly with the help of basic training procedures that will equip them with a range of skills depending on their level of disability. The application of learning theory to training in these areas is also known as:
- A. Applied cognitive approaches
- B. Applied treatment analysis
- C. Cognitive behavioural therapy
- D. Applied behaviour analysis
Correct Answer: D
Rationale: Applied Behaviour Analysis: Applying principles of learning theory, particularly operant conditioning, to improve skills in individuals with intellectual disabilities.
Family members of a patient newly diagnosed with paranoid schizophrenia state that they do not understand what caused the patient's illness. The nurse's response should be predicated on the:
- A. Neurobiological-genetic model.
- B. Stress model.
- C. Family theory model.
- D. Developmental model.
Correct Answer: A
Rationale: The correct answer is A, the Neurobiological-genetic model, because paranoid schizophrenia is known to have a strong genetic component. Research has shown that individuals with a family history of schizophrenia are at a higher risk of developing the disorder. The neurobiological aspect refers to the abnormalities in brain structure and function associated with schizophrenia, such as neurotransmitter imbalances. Therefore, the nurse should educate the family members about the genetic predisposition and neurobiological factors contributing to the patient's illness.
Choices B, C, and D are incorrect:
B: The Stress model focuses on the role of environmental stressors in triggering or exacerbating mental illness, which is not the primary cause of paranoid schizophrenia.
C: The Family theory model emphasizes family dynamics and interactions as contributing factors to mental illness, but it is not the primary cause of paranoid schizophrenia.
D: The Developmental model looks at how early childhood experiences and developmental stages may influence mental health outcomes, but it is not the primary etiology of paranoid