A nurse is reviewing the laboratory results of an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?

Hgb 10 g/dL

Blood glucose 100 mg/dL

TIBC 11 mcg/dL

Potassium 3.7 mEq/L

Answer and Explanation

The Correct Answer is A

A. Hgb 10 g/dL
Anemia (low hemoglobin levels) is a common finding in individuals with anorexia nervosa due to inadequate nutrition, leading to a decreased production of red blood cells. Hemoglobin levels below the normal range are often seen in people with severe malnutrition, such as those with anorexia nervosa.

B. Blood glucose 100 mg/dL:
A blood glucose level of 100 mg/dL is within the normal range. Anorexia nervosa typically does not cause specific changes in blood glucose levels.

C. TIBC 11 mcg/dL:
Total Iron-Binding Capacity (TIBC) is a test that measures the blood's capacity to bind to iron. The given value of 11 mcg/dL is unusually low and might not be within the typical reference range. However, the significance of this value is not clear without the specific reference range for the laboratory performing the test.

D. Potassium 3.7 mEq/L:
A potassium level of 3.7 mEq/L is within the normal range. Electrolyte imbalances, including low potassium levels (hypokalemia), can occur in individuals with anorexia nervosa due to inadequate intake and purging behaviors. While this level is within the normal range, individuals with anorexia nervosa may still exhibit electrolyte imbalances that require monitoring and management.

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Correct Answer is C

Explanation

A. Reaction Formation:
Reaction formation is a defense mechanism where an individual expresses feelings or behaviors that are the opposite of their true feelings or impulses. For example, someone who harbors unconscious aggressive feelings might display exaggerated friendliness and kindness. In the given scenario, the behavior of the newly licensed nurse is not contradictory to their true feelings; they are imitating the charge nurse willingly.

B. Suppression:
Suppression is a conscious effort to push down or hide certain thoughts or feelings. Unlike repression (which is unconscious), suppression involves a deliberate choice not to think about or dwell on certain emotions or thoughts. In the scenario, the behavior of the newly licensed nurse is not an example of suppression because they are not consciously trying to hide their actions.

C. Identification:
Identification is a defense mechanism where an individual unconsciously models their behavior, feelings, or attitudes after those of someone else, especially someone they perceive as powerful or significant. In this scenario, the newly licensed nurse is imitating the behaviors of the charge nurse, which is an example of identification.

D. Compensation:
Compensation is a defense mechanism where an individual consciously or unconsciously covers up weaknesses, frustrations, or feelings of inadequacy by emphasizing strengths or seeking to excel in other areas. It involves making up for a perceived lack by putting extra effort into another aspect of life. The scenario does not describe the newly licensed nurse compensating for any perceived weakness; they are simply imitating the charge nurse's behavior.

A. "Did you experience any childhood trauma?" B. "Are you the result of a twin birth?" C. "Have you ever purposefully lost a job?" D. "Did your parent have a viral infection while pregnant with you?"

Correct Answer is C

Explanation

A. "Did you experience any childhood trauma?"
Childhood trauma, such as abuse or neglect, can contribute to various mental health conditions, including post-traumatic stress disorder (PTSD), depression, or anxiety disorders. While trauma can impact a person's mental health, it does not directly assess the risk for alcohol use disorder.

B. "Are you the result of a twin birth?"
Being a twin or the result of multiple births does not inherently indicate a risk for alcohol use disorder. This question is related to an individual's birth status and has no direct connection to the assessment of alcohol-related issues.

C. "Have you ever purposefully lost a job?"
This is the correct choice. Purposefully losing a job might indicate behavioral issues related to alcohol misuse or impairment. Individuals with alcohol use disorder may engage in behaviors that lead to job loss, such as absenteeism, poor performance, or conflict at the workplace due to alcohol consumption.

D. "Did your parent have a viral infection while pregnant with you?"
Prenatal viral infections can potentially affect fetal development and lead to certain health conditions. However, this question is not directly related to the risk of alcohol use disorder. Alcohol use disorder is primarily influenced by environmental factors, genetic predisposition, and individual behaviors related to alcohol consumption. Prenatal viral infections are not a typical indicator of alcohol-related concerns.

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A nurse is reviewing the laboratory results of an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?

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