Nokea
Which of the following statements by your ADHD childs parents indicate they need further teaching?
- A. We will establish firm but reasonable limits on his behavior
- B. We will give him his medication at night so it wont decrease his appetite
- C. We will set him up in a special program at his school so we he will get extra attention
- D. We will work to ensure he gets 8 hours of sleep a night
Correct Answer: B
Rationale: Stimulant medications are given for treatment of ADHD. These can cause insomnia if given later in the day.
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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.
Which intervention is appropriate for a patient who has anorexia nervosa and is resisting weight gain?
- A. Assist the patient to identify triggers to binge eating.
- B. Provide remedial consequences for weight loss.
- C. Assess for signs of impulsive eating.
- D. Explore needs for health teaching.
Correct Answer: A
Rationale: The correct answer is A because assisting the patient to identify triggers to binge eating is crucial in addressing the resistance to weight gain in anorexia nervosa. By understanding the triggers, the patient can work on overcoming them and develop healthier eating habits. Option B is incorrect as providing remedial consequences for weight loss may exacerbate the issue. Option C is incorrect as impulsive eating is not the main concern in anorexia nervosa. Option D is incorrect as exploring needs for health teaching does not directly address the resistance to weight gain in anorexia nervosa.
False beliefs that are held even when the facts contradict them are called
- A. fantasies
- B. hallucinations
- C. illusions
- D. delusions
Correct Answer: D
Rationale: Delusions are fixed false beliefs resistant to contradictory evidence, unlike hallucinations (perceptions).
Explain four (4) the behavioral features of Anorexia Nervosa
- A. Restricting food intake
- B. Excessive exercise
- C. Body image distortion
- D. Fear of weight gain
Correct Answer: A
Rationale: These behaviors reflect the core features of anorexia: restriction, overactivity, distorted perception, and weight obsession.
One bed is available on the eating disorders unit. Which patient should be admitted? The patient whose assessment findings show the weight dropped from:
- A. 150 to 102 pounds over a 4-month period.
- B. 120 to 90 pounds over a 3-month period.
- C. 130 to 100 pounds over a 2-month period.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A because the patient has experienced a significant weight drop from 150 to 102 pounds over a 4-month period. This represents a loss of 48 pounds over a relatively longer period, indicating a more severe and prolonged issue with weight loss. The other choices show weight drops of 30 pounds over 3 months (B) and 30 pounds over 2 months (C), which are also concerning but not as severe or long-lasting as the situation described in choice A. Choice D is incorrect as at least one patient should be admitted based on the information provided.