Exam 4 Study Guide

Which structure of the brain contains the appetite regulation center? A. Hypothalamus. B. Medulla. C. Amygdala. D. Thalamus.

A

During the nurse's assessment of a client who has been diagnosed with bulimia nervosa, the nurse evaluates certain assessment findings that accompany binge eating. Which are the most applicable? Select all that apply A. guilt B. dental caries C. self-induced vomiting D. weight loss E. normal weight F. introverted behavior

A B C E

Which of the following features is not true regarding disasters? Select all that apply. a. Spiritual distress is not a common issue following a disaster. b. Disasters can be natural or man-made. c. Children are particularly vulnerable when it comes to coping after a disaster. d. Children understand that the world will return to normal after a disaster.e. Disasters overwhelm local resources.f. Disasters may consist of infinite disruptions.

A D F

During an admission interview, a client with anorexia nervosa complains of feeling cold all the time and asks the nurse why. Which of the following is the most appropriate response by the nurse? A. "There is a loss of subcutaneous fat." B. "You probably aren't dressing warmly enough." C. "Let me take your temperature." D. "You might be getting a cold."

A. Clients who have a history of anorexia frequently complain of feeling cold all the time that is unrelated to weather and clothing. Hypothermia is the result of dehydration or a loss of subcutaneous tissue.

During a prenatal assessment, the clinic nurse suspects that her client has been abused. Which of the following questions would be most appropriate? A. "Are you being threatened or hurt by your partner?" B. "Are you frightened of your partner?" C. "Is something bothering you?" D. "What happens when you and your partner argue?"

A. "Are you being threatened or hurt by your partner?"

Which statement made by an emergency department nurse indicates accurate knowledge of domestic violence? A. "Power and control are central to the dynamic of domestic violence." B. "Poor communication and social isolation are central to the dynamic of domestic violence." C. "Erratic relationships and vulnerability are central to the dynamic of domestic violence." D. "Emotional injury and learned helplessness are central to the dynamic of domestic violence."

A. "Power and control are central to the dynamic of domestic violence."

Which nursing assessment findings are physical signs of sexual abuse of a female child? Select all that apply. A. Enuresis B. Red and swollen labia and rectum C. Vaginal tears D. Injuries in different stages of healing E. Cigarette burns F. Lice infestation

A. Enuresis B. Red and swollen labia and rectum C. Vaginal tears

The interventions common to treatment plans for survivors include which of the following? Select all that apply. A. Establish trust and rapport. B. Identify areas of control. C. Remove the client from the home. D. Support the client in the decisions he/she makes. E. Encourage the client to pursue legal action

A. Establish trust and rapport. B. Identify areas of control. D. Support the client in the decisions he/she makes.

A group of nursing students at Elmira College is currently learning about family violence. Which of the following is true about the topic mentioned? A. Family violence affects every socioeconomic level. B. Family violence is caused by drugs and alcohol abuse. C. Family violence predominantly occurs in lower socioeconomic levels. D. Family violence rarely occurs during pregnancy

A. Family violence affects every socioeconomic level.Rationale: Family violence occurs in all socioeconomic levels, races, religions, and cultural groups. Although violence is associated with substance abuse, it is not the singular cause. The statement that the family violence predominantly occurs in lower socioeconomic levels is false. Abuse often occurs during pregnancy; about 23% of all pregnant women seeking prenatal care are victims of abuse.

Nurse Donald is planning a psychoeducational discussion for a group of adolescent clients with anorexia nervosa. Which of the following topics would Nurse Donald select to enhance understanding about central issues in this disorder? A. Peer pressure and substance abuse B. Self-esteem and self-control C. Anger management D. Parental expectations

Answer: B. Self-esteem and self-control Option B: Self-esteem and self-control are central issues for clients with eating disorders. Such clients feel a loss of self-control over their life and experience diminished self-esteem and severe doubts about their self-worth.

Nurse Naomi observes Ashley who is hospitalized due to an eating disorder unit during mealtimes and for 1 hour after eating. An explanation for this intervention is: A. To reinforce the behavioral contact B. To prevent purging behaviors C. To develop a trusting relationship D. To maintain focus on the importance of nutrition

Answer: B. To prevent purging behaviors. Option B: Ashley may experience increased anxiety during treatment and, therefore, may resume behaviors designed to prevent weight gain, such as vomiting or excessive exercise.

The nurse is assessing a 19 year-old female client with bulimia. Which of the following laboratory reports would the nurse anticipate? A. Increased sodium retention B. Decreased potassium C. Decreased albumin D. Increased serum glucose

B. In bulimia, loss of electrolytes can occur in addition to signs and symptoms of starvation and dehydration.

A community health nurse working with a group of 5th grade girls is planning a primary prevention to help the girls avoid developing eating disorders during their teen years. The nurse should focus on which factor? A. working with the school nurse to closely monitor the girls' weight during middle school B. helping the girls accept and appreciate their bodies and feel good about themselves C. limiting the girls access to media images of very thin models and celebrities D. telling the girls' parents to monitor their daughter's weight and media access

B. helping the girls accept and appreciate their bodies and feel good about themselves

During the admission process, the parents of a newly diagnosed 17 year old with anorexia nervosa often remark about the teenager. . . A. we have had many concerns about her, she does poorly in school B. we have never had any problems with her, she gets really good grades in school C. she is so outgoing and gregarious that we never suspected an issue D. we have spoiled her too much, it's our fault

B. we have never had any problems with her, she gets really good grades in school

During a home visit to a family of three: a mother, a father, and their child, The mother tells the community nurse that the father (who is not present) has hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into going to Alcoholics Anonymous and asks the nurse not to interfere, so her husband won't get angry and refuse treatment. Which of the following is the best response of the nurse? A. The nurse agrees not to interfere if the husband attends an Alcoholics Anonymous meeting that evening. B. The nurse commends the mother's efforts and agrees to let her handle things. C. The nurse commends the mother's efforts and also contacts protective services. D. The nurse confronts the mother's failure to protect the child.

C. The nurse commends the mother's efforts and also contacts protective services. Rationale: WE ARE MANDATED REPORTERS OF ABUSE

What is the primary diagnostic criteria for anorexia nervosa? A. sense of lack of control over eating B. woman has amenorrhea for 2 months C. fear of being overweight when body mass index is <18.5 D. person engages in episodes of fasting or excessive exercise of >1 1/2 hours per day

C. fear of being overweight when body mass index is <18.5

The nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway, and is making aggressive and belligerent gestures at other clients. Which statement would be the most appropriate to make to this client? A. you need to stop that behavior now. B. you will need to be placed in seclusion C. you seem restless. tell me what is happening. D. you will need to be restrained if you do not change your behavior.

C. you seem restless. tell me what is happening.

Mrs. Smith is admitted to the emergency department of Nurseslabs Medical Center with a fractured arm. She explains to the nurse that her injury resulted when she provoked her drunken husband, Mr. Smith, who then pushed her. Which of the following best describes the nurse's understanding of the wife's explanation? A. Mrs. Smith's explanation is appropriate acceptance of her responsibility. B. Mrs. Smith's explanation is an atypical reaction of an abused woman. C. Mrs. Smith's explanation is evidence that the woman may be an abuser as well as a victim. D. Mrs. Smith's explanation is a typical response of a victim accepting blame for the abuser.

D. Mrs. Smith's explanation is a typical response of a victim accepting blame for the abuser.

Nurse Meredith is observing 8-year-old Anna during a community visit. Which of the following findings would lead the nurse to suspect that Anna is a victim of sexual abuse? A. The child is fearful of the caregiver and other adults. B. The child has a lack of peer relationships.. C. The child has self-injurious behavior. D. The child has interest in things of a sexual nature

D. The child has interest in things of a sexual nature

When teaching a group of adolescents about anorexia nervosa, the nurse should describe this disorder as being characterized by which factor? A. near-normal weight, a self-critical body image and excessive fear of becoming obese B. chronic dieting, an altered body image and an obsession with weight of others C. calorie-counting, an unrealistic body image and concern about dieting D. emaciation, a disturbed body image, and an intense fear of becoming obese

D. emaciation, a disturbed body image, and an intense fear of becoming obese

Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event. What is this type of crisis called? a. crisis resulting from traumatic stress b. maturational or developmental crisis. c. dispositional crisis. d. crisis of anticipated life transitions.

a. crisis resulting from traumatic stress

Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother's behavior. The most appropriate nursing intervention with Jenny would be to a. make arrangements for her to start attending Alateen meetings. b. help her identify the positive things in her life and recognize that her situation could be a lot worse than it is. c. teach her about the effects of alcohol on the body and that it can be hereditary. d. refer her to a psychiatrist for private therapy to learn to deal with her home situation.

a. make arrangements for her to start attending Alateen meetings.

A client struggling with a binge eating disorder tells a nurse, "I don't know why I eat the way I do each night." What question would be most helpful for the nurse to ask this client? a) "Have you experienced changes in your leisure activities?" b) "What do you do when you feel stressed or upset?" c) "Do you worry that bad things will happen to you?" d) "Are there periods of time at night that you can't account for?

b) "What do you do when you feel stressed or upset?"

The nurse attends a conference meeting regarding crisis intervention. Which of the following statements by the nurse requires follow-up? a. "Crises are personal by nature. What may be considered a crisis situation by one individual may not be so for another.". b. "The development of a crisis situation follows a relatively unpredictable course." c. "Crises are acute and will be resolved within a brief period." d. "The therapist, or other intervener, becomes a part of the individual's life situation."

b. "The development of a crisis situation follows a relatively unpredictable course."

Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event. The most appropriate crisis intervention with Amanda would be to a. encourage her to recognize how lucky she is to be alive. b. discuss stages of grief and feelings associated with each. c. identify community resources that can help Amanda. d. suggest that she find a place to live that provides a storm shelter.

b. discuss stages of grief and feelings associated with each.

Which of the following is a correct assumption regarding the concept of crisis? a. crises occur only in individuals with psychopathology. b. the stressful event that precipitates crisis is seldom identifiable. c. a crisis situation contains the potential for psychological growth or deterioration. d. crises are chronic situations that recur many times during an individuals's life.

c. a crisis situation contains the potential for psychological growth or deterioration.

Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, "I don't know why Carlo had to die and I didn't!" This statement by Andrew suggests that he is experiencing a. spiritual distress. b. night terrors. c. survivor's guilt. d. suicidal ideation.

c. survivor's guilt.

Which of the following is the desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety? a. the individual will experience no anxiety b. the individual will demonstrate hope for the future. c. the individual will identify that anxiety is at a manageable level. d. the individual will verbalize acceptance of self as worthy.

c. the individual will identify that anxiety is at a manageable level.

Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become increasingly dependent. Her husband is very concerned and takes her to the local mental health center. The most appropriate nursing intervention with Marie would be to a. refer her to her family physician for a complete physical examination b. suggest she seek outside employment now that her children have left home.. c. identify convenient support systems for times when she is feeling particularly despondent. d. begin grief work and assist her to recognize areas of self-worth separate and apart from her children.

d. begin grief work and assist her to recognize areas of self-worth separate and apart from her children.

Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger's first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. What is this type of crisis called? a. crisis resulting from traumatic stress b. dispositional crisis. c. psychiatric emergency. d. maturational or developmental crisis.

d. maturational or developmental crisis.