Nokea
Which statement by a patient with bulimia nervosa suggests the need for further education?
- A. I understand that purging is harmful to my health.
- B. I have learned to control my binge eating episodes.
- C. I feel that I can continue purging occasionally without harm.
- D. I know that therapy can help me change my eating behaviors.
Correct Answer: C
Rationale: The correct answer is C because it indicates a lack of awareness about the harmful consequences of purging. The statement suggests a rationalization of continuing the harmful behavior, showing a need for further education on the risks associated with purging. Choice A demonstrates understanding of the harm, B shows progress in controlling binge eating, and D acknowledges the potential benefits of therapy. Educating the patient about the dangers of purging is crucial in addressing their condition effectively.
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The nurse who sees a number of battered women each year decides to put together a set of guidelines for nurses. An appropriate guideline to include, with the victims' informed consent, would be to:
- A. Take at least two photographs of each trauma area
- B. Assess for sexually transmitted disease
- C. Follow rape protocol even when rape is not suspected
- D. Make protective services aware of the abuse
Correct Answer: A
Rationale: The correct answer is A because taking photographs of trauma areas can provide crucial evidence for legal and medical purposes. It can help document the extent of injuries and aid in the prosecution of the abuser. This step is essential in ensuring proper documentation and care for the victims.
Option B is incorrect because assessing for sexually transmitted diseases may not be the immediate priority in cases of domestic violence. Option C is incorrect as following rape protocol when rape is not suspected may not be necessary and could potentially retraumatize the victim. Option D is incorrect because making protective services aware of the abuse should only be done with the victim's consent to ensure their safety and autonomy.
Which of the following is a priority intervention for a patient with bulimia nervosa who has been purging?
- A. Ensure the patient has access to therapy and counseling.
- B. Assess and monitor the patient's electrolyte levels.
- C. Encourage the patient to maintain a balanced diet.
- D. Provide education about the dangers of eating disorders.
Correct Answer: B
Rationale: The correct answer is B: Assess and monitor the patient's electrolyte levels. This is the priority intervention because purging in bulimia nervosa can lead to electrolyte imbalances, which can be life-threatening. Monitoring electrolyte levels is crucial to prevent complications such as cardiac arrhythmias or organ damage.
A: Ensuring access to therapy and counseling is important but not the priority in this case where immediate medical attention is needed for potential electrolyte imbalances.
C: Encouraging a balanced diet is essential in the long term but not the immediate priority when dealing with the potential medical complications of purging.
D: Providing education about dangers is important, but it is not the most critical intervention at this moment compared to monitoring electrolyte levels.
The most effective method of predicting that a mental patient will commit an act of violence is by
- A. psychological tests
- B. psychiatric interviews
- C. psychological interviews
- D. There is no effective method
Correct Answer: D
Rationale: No single method reliably predicts violence in mental patients due to its complexity and variability.
Which neighborhood in Boston had the highest rates of Chlamydia in 2006?
- A. Allston/Brighton
- B. Roxbury
- C. Jamiaca Plain
- D. Roslindale
Correct Answer: B
Rationale: Roxbury, a historically underserved area, had higher Chlamydia rates in 2006, likely due to socioeconomic factors and limited healthcare access.
It is a secondary dementia indicated by loss of recent memory and disorientation to time and place.
- A. Alzheimer's disease.
- B. Vascular dementia.
- C. Lewy body dementia.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A: Alzheimer's disease. Alzheimer's disease is a common type of dementia characterized by progressive cognitive decline, including loss of recent memory and disorientation to time and place. This is due to the accumulation of amyloid plaques and neurofibrillary tangles in the brain. Vascular dementia (B) is caused by reduced blood flow to the brain, leading to cognitive impairment. Lewy body dementia (C) is characterized by the presence of abnormal protein deposits called Lewy bodies in the brain. Choosing D (None of the above) would be incorrect as Alzheimer's disease specifically matches the description provided in the question.