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Which of the following may occur in Expressive Language Disorder?
- A. Limited amount of speech
- B. Difficulty learning new words
- C. Difficulty finding the right word
- D. All of the above
Correct Answer: D
Rationale: Expressive Language Disorder: A specific learning disability in which scores on tests of expressive language development are substantially below those for chronological age, intelligence, and educational level.
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Which of the following is a critical aspect of nursing care for patients with anorexia nervosa?
- A. Encouraging weight loss to avoid complications from obesity.
- B. Promoting normalization of eating habits and nutritional rehabilitation.
- C. Restricting fluid intake to reduce risk of water retention.
- D. Avoiding any pressure for the patient to gain weight rapidly.
Correct Answer: B
Rationale: The correct answer is B: Promoting normalization of eating habits and nutritional rehabilitation. This is critical in anorexia nervosa treatment to address malnutrition and restore a healthy relationship with food. Encouraging weight loss (A) is inappropriate as these patients are already underweight. Restricting fluid intake (C) can worsen dehydration and electrolyte imbalances. Avoiding pressure for rapid weight gain (D) is important, but the primary focus should be on promoting healthy eating habits and gradual weight restoration. By focusing on normalization of eating habits and nutritional rehabilitation, nurses can help patients with anorexia nervosa recover physically and mentally.
How the child's development is influenced by the school and the teacher?
- A. mental
- B. social
- C. emotional
- D. all of these
Correct Answer: D
Rationale: Schools and teachers shape children holistically. Mental development occurs through intellectual stimulation (A), social development via peer interactions (B), and emotional development through resilience and self-awareness (C). 'All of these' (D) reflects their comprehensive influence.
A client being treated for anorexia nervosa is 5 feet 10 inches tall and weighs 100 pounds. The client believes she is overweight. On the days the client is scheduled to be weighed, the nurse should be prepared for the client to:
- A. eagerly ask for information about her present weight.
- B. dress in several layers of clothing.
- C. suggest that the scale numbers be hidden from her view.
- D. remind the nurse that she is ready to be weighed.
Correct Answer: B
Rationale: Correct Answer: B - Dress in several layers of clothing.
Rationale: An individual with anorexia nervosa often engages in behaviors to manipulate their weight, such as wearing heavy clothing to increase their weight on the scale. This behavior is a result of distorted body image and fear of gaining weight. By dressing in several layers of clothing, the client may attempt to influence the scale reading to align with their perceived body image.
Summary of other choices:
A: Eagerly asking for information about her present weight is unlikely as individuals with anorexia nervosa typically avoid discussions or confrontations related to their weight.
C: Suggesting that the scale numbers be hidden is not as likely as the client may want to see the numbers to validate their belief of being overweight.
D: Reminding the nurse that she is ready to be weighed may occur, but it does not address the behavior of dressing in layers to manipulate weight.
A patient with severe dementia can no longer recognize her only daughter and becomes anxious and agitated when the daughter attempts to reorient her. An alternative the nurse could suggest to the daughter is to:
- A. Wear a large name tag.
- B. Visit her mother less often.
- C. Talk about experiences they've shared.
- D. None of the above.
Correct Answer: C
Rationale: The correct answer is C: Talk about experiences they've shared. This option is the most appropriate because reminiscing about past shared experiences can help trigger memories and emotions in the patient with dementia, potentially reducing anxiety and agitation. It can provide comfort and a sense of familiarity to the patient. Wearing a large name tag (option A) may not address the core issue of memory loss. Visiting less often (option B) could lead to further feelings of isolation and confusion for the patient. Option D, None of the above, is incorrect as option C provides a constructive and person-centered approach to improving the interaction between the patient and her daughter.
The chief distinguishing feature of psychotic disorders is
- A. confusion of fantasy and reality
- B. antisocial conduct
- C. overwhelming anxiety
- D. obsessive behavior
Correct Answer: A
Rationale: Psychotic disorders are characterized by a loss of reality testing, such as hallucinations and delusions, distinguishing them from other conditions.