Nursing Elites

1. In managing a patient with anorexia nervosa, which initial treatment goal is most important?

• A. Addressing distorted body image
• B. Restoring nutritional status
• C. Resolving family conflicts
• D. Increasing social interactions

Correct answer: B

Rationale: The most crucial initial treatment goal for anorexia nervosa is restoring nutritional status. This is essential to prevent life-threatening complications associated with severe malnutrition, such as organ damage and cardiac issues. Addressing distorted body image, resolving family conflicts, and increasing social interactions are important aspects of treatment, but they are secondary to the critical need of restoring the patient's nutritional status to ensure their physical well-being and recovery.

2. Which activity is most appropriate for a child with ADHD?

• A. Reading an adventure novel
• B. Monopoly
• C. Checkers
• D. Tennis

Correct answer: D

Rationale: Engaging in physical activities like tennis is beneficial for children with ADHD as it allows them to release excess energy and enhance concentration. Exercise can help improve focus and reduce hyperactivity in children with ADHD.

3. A client has been diagnosed with generalized anxiety disorder. Which of the following findings should the nurse expect?

• A. Shortness of breath
• B. Chest pain
• C. Excessive worry
• D. Decreased appetite

Correct answer: C

Rationale: Individuals with generalized anxiety disorder commonly exhibit symptoms like excessive worry, restlessness, and difficulty concentrating. Physical manifestations such as muscle tension and sleep disturbances are also prevalent. Shortness of breath and chest pain are more commonly associated with panic attacks rather than generalized anxiety disorder. Decreased appetite may be present in some cases, but excessive worry is a hallmark characteristic of generalized anxiety disorder.

4. How does emotional trauma typically affect individuals physically?

• A. Emotional trauma is a distinct category and unrelated to physical symptoms.
• B. Physical manifestations of emotional trauma are usually temporary.
• C. Emotional trauma is often manifested as physical symptoms.
• D. Patients are more aware of physical problems caused by trauma.

Correct answer: C

Rationale: Emotional trauma can often manifest as physical symptoms, such as headaches, stomachaches, and other somatic complaints. These physical manifestations can be long-lasting and impact the individual's overall well-being.

5. A patient with panic disorder is prescribed a benzodiazepine. The nurse should educate the patient that this medication is typically used for:

• A. For long-term maintenance therapy.
• B. As a first-line treatment.
• C. For short-term use due to the risk of dependence.
• D. To treat depression symptoms.

Correct answer: C

Rationale: The correct answer is C: 'For short-term use due to the risk of dependence.' Benzodiazepines are usually prescribed for short-term relief of anxiety symptoms due to the risk of dependence. Prolonged use can lead to tolerance, dependence, and other adverse effects, so they are not typically used for long-term maintenance therapy (choice A). They are not considered first-line treatments for panic disorder (choice B) and are not primarily used to treat depression symptoms (choice D), as their main indication is for anxiety and panic disorders.

Similar Questions