Eating Disorder
Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. She wears layered, loose clothing, and now has amenorrhea. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?
a. Binge eating disorder
b. Anorexia nervosa
c. Bulimia nervosa
d. Pica
What level of anxiety is considered normal for everyday life?
A. Moderate
B. Mild
C. Severe
A nurse is completing an admission assessment for a client who has schizophrenia. which of the following findings should the nurse document as positive symptoms (Select all that apply)
A. Auditory hallucination
B. Lack of motivation
C. Use clang associations
D. Delusion of persecution
E. Constantly waving arms
Patients with attention-deficit disorder and attention- deficit hyperactivity disorder should take what medication?
A. Amphetamine
B. Clozapine
C. Diazepam
D. Venlafaxine
A nurse is planning care for a patient who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
A. Provide flexible patient behavior expectations
B. Offer concise explanations
C. Establish consistent limits
D. Disregard patients complaints
E. Use a firm approach with communication
A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration. Which explanation for this complication of bulimia nervosa, should the nurse provide?
1. The emesis produced during purging is acidic and corrodes the tooth enamel.
2. Purging causes the depletion of dietary calcium.
3. Food is rapidly ingested without proper mastication.
4. Poor dental and oral hygiene lead to dental caries.
Which of the following is considered SSRI medication?
A. Imipramine
B. Fluoxetine
C. Diazepam
A nurse is caring for a client who has schizoaffective disorder. which of the following statements indicates the client is experiencing depersonalization?
A. “I am a superhero an am immortal”
B. “ I am no one, and everyone is me”
C.“ I feel monsters pinching me all over”
D. “I know that you are stealing my thoughts”
Tourette disorder usually begins between which ages?
A. 5-10 years old
B. 2-7 years old
C. 12-20 years old
D. 1-5 years old
A nurse in an acute mental health facility is caring for a patient who has bipolar disorder. Which of the following is the priority nursing actions?
A. Set consistent limits for expected client behavior
B. Administer prescribed medications as scheduled
C. Provide the patient with step-by-step instructions during hygiene activities
D. Monitor the patient for escalating behavior
The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team calls for a family meeting. Which is the appropriate nursing response?
1. Tell me why this family meeting is causing you to be defensive. All clients are required to participate in two family sessions.
2. Eating disorders have been correlated to certain familial patterns; without addressing these, your child's condition will not improve.
3. Family dynamics are not linked to eating disorders. The meeting is to provide your child with family support.
4. Clients diagnosed with anorexia nervosa are part of the family system, and any alteration in family processes needs to be addressed.
What are signs and symptoms that can present in a patient with panic anxiety?
A. Feeling dread, confusion, and speech is loud and rapid
B.Voice tremors, difficulty concentrating and increased heart rate and respiratory rate.
C. Can not process what is happening, can experience hallucinations or delusions
A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are stating, “kill your doctor”. Which of the following actions should the nurse take first?
A.Encourage the client to participate in group therapy on the unit
B.Initiate one-to-one observation of the client---answer
C.Focus the client on reality
D.Notify the provider of the client’s statement.
Interventions for patients with autism spectrum disorders include? Select all of the apply
A. Administer methylphenidate
B. Set clear rules
C. Give one- step instructions
D. Decrease environmental stimulation
E. Promote positive reinforcement
A nurse is caring for a patient who has bipolar disorder. The patient states, “I am very rich, and I feel I must give my money to you.” Which of the following responses should the nurse make?
A. “Why do you think you feel the need to give money away?”
B. “I am here to provide care and cannot accept this from you.”
C. “I can request that your case manager discuss appropriate charity options with you.”
D. “You should know that giving away your money is inappropriate.”