Which is a hallmark characteristic of bulimia nervosa?
- A. Persistent restriction of caloric intake.
- B. Binge eating followed by purging behaviors.
- C. Severe weight loss due to food refusal.
- D. Excessive exercising to burn calories.
Correct Answer: B
Rationale: The correct answer is B because bulimia nervosa is characterized by recurrent episodes of binge eating followed by compensatory behaviors such as purging. Binge eating involves consuming a large amount of food in a short period, followed by feelings of loss of control. Purging behaviors like self-induced vomiting or misuse of laxatives are used to prevent weight gain. Choices A, C, and D are incorrect because bulimia nervosa typically involves normal or fluctuating weight, not severe weight loss or excessive exercise to burn calories. Persistent restriction of caloric intake is more indicative of anorexia nervosa, not bulimia nervosa.
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Attention Deficit Hyperactivity Disorder (ADHD) is equally common in boys and girls
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: ADHD is more commonly diagnosed in boys than girls, though it affects both genders.
Adolescents often cite barriers for discussing psychosocial issues with their physician. If confidentiality is addressed, which of the following do adolescents NOT cite as a barrier:
- A. Non-judgemental approach of physician
- B. Personal embarrassment towards discussing sensitive topics
- C. Physician seems rushed
- D. Physician did not ask about sensitive topics
Correct Answer: A
Rationale: A non-judgmental approach facilitates discussion and is not a barrier, unlike embarrassment, time constraints, or perceived lack of understanding.
The nurse is assessing a client who will be having an orthopedic surgery. The client takes an antipsychotic medication and shares that he has recently started using two herbal preparations for his nerves. The nurse should:
- A. Ask for the specific names of the herbal compounds
- B. Go on to another interview question since herbal compounds are not important
- C. Tell him to stop using the herbal preparations because they are not effective
- D. Explain that his physician will not be happy with his self-prescribing
Correct Answer: A
Rationale: Rationale:
A: Asking for the specific names of the herbal compounds is important to assess potential interactions with the antipsychotic medication.
B: Ignoring the herbal compounds could lead to adverse effects or interactions during surgery.
C: Telling him to stop may not be appropriate without knowing the specific compounds and their effects.
D: Discussing the physician's viewpoint is not as crucial as gathering information on potential interactions.
A client with obsessive-compulsive personality disorder seeks treatment for depression after the recent breakup of a relationship. The client constantly procrastinated about proposing marriage and said his girlfriend complained that he did not show her affection and that he was too controlling. Now he describes inability to sleep, poor concentration, and loss of energy since the breakup. Which outcome is a priority for the client? The client will:
- A. Demonstrate assertive behavior
- B. Express hope for developing a new relationship in the future
- C. Identify feelings of sadness related to the failed relationship
- D. List three new ways to reduce stress
Correct Answer: C
Rationale: The correct answer is C: Identify feelings of sadness related to the failed relationship. This is the priority outcome because the client's current symptoms of depression, such as inability to sleep, poor concentration, and loss of energy, are likely related to the breakup. By identifying and processing feelings of sadness, the client can begin to work through the grief and emotional distress caused by the failed relationship, which can help alleviate the depressive symptoms.
Choice A (Demonstrate assertive behavior) is not the priority outcome as the client's primary issue is related to depression and processing emotions, not assertiveness. Choice B (Express hope for developing a new relationship in the future) may be important for the client's overall well-being, but it is not the immediate priority for addressing the current depressive symptoms. Choice D (List three new ways to reduce stress) may be helpful in managing symptoms, but it does not address the core issue of processing emotions related to the breakup.
Which characteristic fits the usual profile of an individual diagnosed with pedophilic disorder?
- A. Homosexual
- B. Ritualistic behaviors
- C. Seeks access to children
- D. Self-confident professional
Correct Answer: C
Rationale: The correct answer is C because an individual diagnosed with pedophilic disorder typically seeks access to children for sexual purposes. This behavior is a key characteristic of pedophilia. Homosexuality (A) is not a defining factor in pedophilic disorder. Ritualistic behaviors (B) are not specific to pedophilia but may be present in some cases. Being a self-confident professional (D) does not correlate with pedophilic tendencies. In summary, seeking access to children (C) aligns with the diagnostic criteria for pedophilic disorder, making it the most fitting characteristic.
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