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A charge nurse is preparing a staff education session on personality disorders.
Which of the following personality characteristics associated with all of the
personality disorders should the charge nurse include in the teaching? (Select all
that apply)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
E. Dif ---------CORRECT ANSWER-----------------A, C, E
A nurse is obtaining a nursing history from a client who has a new diagnosis of
anorexia nervosa. Which of the following questions should the nurse include in
the assessment? (Select all that apply)
A. "What is your relationship like with your family?"
B. "Why do you want to lose weight?"
C. "Would you describe your current eating habits?"
D. "At what weight do you believe you will look better?"
E. "Can you discuss your feelings about your appearance?" ---------CORRECT
ANSWER-----------------A, C, E
,A nurse is caring for an adolescent who has anorexia nervosa with recent rapid
weight loss and a current weight of 90 pounds. Which of the following statements
indicates the client is experiencing the cognitive distortion of catastrophizing?
A. "Life isn't worth living if I gain weight"
B. "Don't pretend like you don't know how fat I am"
C. "If I could be skinny, I know I'd be popular"
D. "When I look in the mirror I see myself as obese" ---------CORRECT ANSWER------
-----------A
A nurse is performing an admission assessment of a client who has bulimia
nervosa with purging behavior. Which of the following is an expected finding?
(Select all that apply)
A. Amenorrhea
B. Hypokalemia
C. Yellowing of the skin
D. Slightly elevated body weight
E. Presence of lanugo on the face ---------CORRECT ANSWER-----------------B, D
,A nurse is planning care for a client who has anorexia nervosa with binge eating
and purging behavior. Which of the following actions should the nurse include in
the client's plan of care?
A. Allow the client to select preferred meal times
B. Establish consequences for purging behavior
C. Provide the client with a high fat diet at the start of treatment
D. Implement one to one observation during meal times ---------CORRECT
ANSWER-----------------D
A nurse is caring for a client who has bulimia nervosa and has stopped purging
behavior. The client tells the nurse about fears of gaining weight. Which of the
following responses should the nurse make?
A. "The dietician will ensure that you don't get too many calories in your diet"
B. "Instead of worrying about your weight try to focus on other problems at this
time"
C. "I understand you have concerns about your weight, but first, lets talk about
your recent accomplishments" ---------CORRECT ANSWER-----------------C
What does the term purging mean, in reference to anorexia nervosa?
A. Vomiting
B. Excessive exercise
, C. Using stimulants or thyroid meds
D. All of the above ---------CORRECT ANSWER-----------------D
What is yellow skin in anorexia linked to?
A. Lanugo
B. Amenorrhea
C. Use of street drugs
D. Hypercarotenmia ---------CORRECT ANSWER-----------------D
Which of the following does not cause increased intracranial pressure (ICP)?
a. Repositioning in bed
b. Seizures
c. Decreased neuronal oxygen consumption
d. Environmental light and sound ---------CORRECT ANSWER-----------------C
Mark, your 44-year-old patient, is hospitalized for traumatic brain injury (TBI)
after a snowboarding fall. Which finding would indicate he needs ICP monitoring?
a. Glasgow Coma Scale (GCS) score of 12
b. GCS score of 10