Marty is pacing and complains of racing thoughts. Nurse Lally asks the client if something upsetting happened, and Marty’s response is vague and not focused on the question. Nurse Lally assess Marty’s level of anxiety as: A. Mild B. Moderate C. Severe D. Panic Correct Answer: C.… Read More »
Dementia, unlike delirium, is characterized by: A. Slurred speech B. Insidious onset C. Clouding of consciousness D. Sensory perceptual change Correct Answer: B. Insidious onset Dementia has a gradual onset and progressive deterioration. It causes pronounced memory and cognitive disturbances. Dementia is a disorder that is characterized… Read More »
Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client? A. Altered self-image B. Fluid volume deficit C. Altered nutrition less than body requirements D. Altered family process … Read More »
What is the best intervention to teach the client when she feels the need to starve? A. Allow her to starve to relieve her anxiety. B. Do a short-term exercise until the urge passes. C. Approach the nurse and talk out her feelings. D. Call her mother on the phone and tell her… Read More »
The client with anorexia nervosa is improving if: A. She eats meals in the dining room. B. Weight gain C. She attends ward activities. D. She has a more realistic self-concept. Correct Answer: B. Weight gain Weight gain is the best indication of the client’s improvement. The… Read More »
The characteristic manifestation that will differentiate bulimia nervosa from anorexia nervosa is that bulimic individuals: A. Have episodic binge eating and purging. B. Have repeated attempts to stabilize their weight. C. Have peculiar food handling patterns. D. Have threatened self-esteem. Correct Answer: A. Have episodic binge eating… Read More »
A nursing diagnosis for bulimia nervosa is powerlessness related to feeling not in control of eating habits. The goal for this problem is: A. Patient will learn problem-solving skills. B. Patient will have decreased symptoms of anxiety. C. Patient will perform self-care activities daily. D. Patient will verbalize how to set… Read More »
In the management of bulimic patients, the following nursing interventions will promote a therapeutic relationship except: A. Establish an atmosphere of trust. B. Discuss their eating behavior. C. Help patients identify feelings associated with binge-purge behavior. D. Teach the patient about bulimia nervosa. Correct Answer: B. Discuss their… Read More »
Situation: A 35-year-old male has an intense fear of riding an elevator. He claims “ As if I will die inside.” This has affected his studies The client is suffering from: A. Agoraphobia B. Social phobia C. Claustrophobia D. Xenophobia Correct Answer: C. Claustrophobia Claustrophobia is fear… Read More »
Situation: A 24-year-old female has an intense fear of spiders. Initial intervention for the client should be to: A. Encourage to verbalize her fears as much as she wants. B. Assist her to find meaning to her feelings in relation to her past. C. Establish trust through a consistent approach. D.… Read More »