Nokea
Which is the most appropriate community resource for the nurse to recommend for respite services?
- A. The Office of Family Assistance
- B. The American Association on Mental Retardation
- C. A local children's day-care facility
- D. A home health care agency
Correct Answer: D
Rationale: Home health agencies provide specialized respite care for complex needs.
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Which is most therapeutic for the nurse to say privately to the parent in this situation?
- A. All children know how to frustrate parents.
- B. You need to stop pleading with your child to eat.
- C. You're concerned that your child is starving.
- D. I know how you're feeling; I'm a parent, too.
Correct Answer: C
Rationale: Acknowledging concern validates the parent's emotions and opens dialogue.
If this diagnosis is accurate, it is most important for the nurse to assess for which characteristic finding?
- A. The mother is obsessed with the fear that her child will die.
- B. The mother is well versed in normal health patterns among children.
- C. The mother is responsible for creating the child's symptoms.
- D. The mother is overreacting to minor variations in her child's health.
Correct Answer: C
Rationale: Munchausen syndrome by proxy involves a caregiver causing or fabricating symptoms.
If the admitting nurse documents all of the following parental behaviors, which behavior is most likely to suppress this child's ability to reach the maximum potential for development?
- A. The parent dresses and undresses the teen.
- B. The parent answers all the medical questions.
- C. The parent exaggerates the teen's abilities.
- D. The parent assumes blame for the teen's condition.
Correct Answer: A
Rationale: Over-involvement like dressing the teen hinders independence.
Which assessment finding differentiates bulimia from anorexia nervosa in an adolescent with a suspected eating disorder?
- A. Body image distortion
- B. Purging after meals
- C. Decreased self-esteem
- D. Binge eating
Correct Answer: B
Rationale: Purging after meals is characteristic of bulimia, not always present in anorexia.
When reviewing the assessment data, the nurse would expect to note which characteristic physical finding?
- A. Extremely low body weight
- B. Erosion of dental enamel
- C. Cessation of menstruation
- D. Patchy loss of hair
Correct Answer: B
Rationale: Erosion of dental enamel is caused by frequent vomiting in bulimia.