Nokea
Which warning signs of suicide should the nurse include?
- A. Withdrawal
- B. Apathy
- C. Angry outbursts
- D. Lower standardized test scores in reading and math
- E. Delusions
- F. Incoherent speech
Correct Answer: A,B,C
Rationale: Withdrawal, apathy, and angry outbursts are common suicide warning signs.
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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.
Which response by the nurse provides the best explanation of the child's behavior?
- A. Thumb sucking is a primitive form of self-stimulation and security.
- B. Thumb sucking is a regressive behavior with a comforting effect.
- C. Thumb sucking substitutes for the missing fluids due to postoperative restriction of fluids.
- D. Thumb sucking satisfies the child's increased need for a familiar touch.
Correct Answer: B
Rationale: Thumb sucking is a regressive behavior triggered by stress, offering comfort.
What is the best guidance the nurse can give the mental health technician caring for the anorectic client?
- A. Blend the food and administer it by tube feeding.
- B. Remind the client that the intake is being recorded.
- C. Review the treatment goals with the client again.
- D. Remove the food without making any comments.
Correct Answer: D
Rationale: Removing food without comment avoids power struggles and maintains neutrality.
Which response by the nurse to the parents is most appropriate at this time?
- A. The physicians here are very well qualified.
- B. This diagnosis is difficult for you to accept.
- C. Why do you feel you need a second opinion?
- D. It's not as bad as it may seem right now.
Correct Answer: B
Rationale: Acknowledging the difficulty of accepting the diagnosis validates the parents' emotions and opens communication without being confrontational.
If the adolescent is typical of others who have grown up in an alcoholic family, the nurse would expect to assess for problems in which area?
- A. Low self-esteem
- B. Managing stress
- C. Long-term learning
- D. Fear of authority
Correct Answer: A
Rationale: Low self-esteem is common in children of alcoholics due to unpredictable environments.