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Which statement made by a parent of an adolescent with anorexia nervosa indicates an understanding of this condition?
- A. There really isn't anything to worry about. Don't they say you can never be too thin?'
- B. My daughter just doesn't have much of an appetite.'
- C. She is just trying to punish me for divorcing her father.'
- D. She seems to see herself as fat, even though her weight is below normal.'
Correct Answer: D
Rationale: Individuals with anorexia nervosa have a disturbed body image, which this parent correctly recognizes.
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A parent asks the nurse to describe what is meant by a 'learning disability.' Which is the nurse's most helpful response?
- A. A child may have difficulty with perception, language, comprehension, or memory.'
- B. It is characterized by inattention, impulsiveness, and hyperactivity.'
- C. The child's intellectual ability limits his learning.'
- D. The child has difficulty learning because of brain damage.'
Correct Answer: A
Rationale: Learning disability is an educational term. Children with learning disabilities may have average to above-average intelligence but may experience difficulties in perception, language, comprehension, and conceptualization.
The nurse counsels parents that the early school years create nervous tension in the child manifested by which abnormal behavior(s)? (Select all that apply.)
- A. Masturbation
- B. Food fads
- C. Stuttering
- D. Aggressive behavior
- E. Nonnutritive sucking
Correct Answer: C,D,E
Rationale: Stuttering, aggressive behavior, and nonnutritive sucking that appear suddenly are clues to increased nervous tension in the young school-age child.
A child is diagnosed with attention-deficit hyperactivity disorder (ADHD). Which characteristics would the nurse assess in this child? (Select all that apply.)
- A. Social anxiety
- B. Impulsivity
- C. Hyperactivity
- D. Distractibility
- E. Inattention
Correct Answer: B,C,D,E
Rationale: ADHD is characterized by inattention, hyperactivity, impulsivity, and distractibility.
A 15-year-old boy was previously active in a band and saved money to buy a special guitar. What would a nurse assess as an early sign of depression in this boy?
- A. He gives up the band to spend time with his girlfriend.
- B. He spends all of his time at the library studying to qualify for the honor society.
- C. He gives his guitar away and spends his time listening to music in his room.
- D. He withdraws all of his money out of the bank to buy an expensive leather jacket.
Correct Answer: C
Rationale: A major depression is characterized by a prolonged behavioral change from baseline that interferes with school, family life, and age-specific activities, frequently signaled by giving prized possessions away.
Which substance puts a person at the greatest risk for HIV and hepatitis B?
- A. Alcohol
- B. Opiates
- C. Cocaine
- D. Marijuana
Correct Answer: B
Rationale: The use of opiates coupled with sharing needles puts the user at risk for HIV and hepatitis B.