Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?

Anorexia nervosa

Binge eating

Eating disorder not otherwise specified

Bulimia nervosa

Answer and Explanation

The Correct Answer is A

A. Key features include severe weight loss, distorted body image, restrictive eating, and preoccupation with food (e.g., cooking for others but eating very little). Wearing loose layers to hide weight is also typical.

B. This disorder involves recurrent episodes of eating large amounts of food, often rapidly, which is not described here.

C. This category is used when symptoms do not fully meet criteria for anorexia or bulimia; the patient’s presentation fits anorexia nervosa criteria.

D. Bulimia involves bingeing and compensatory behaviors like vomiting or laxative use; no binge episodes are described in this case.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Delirium can cause difficulty recognizing objects, people, or places, which is a form of agnosia.

B. Patients with delirium often have fluctuating levels of consciousness, ranging from lethargy to hyperalertness.

C. Delirium commonly affects orientation, causing confusion about where they are or what time it is.

D. Apathy is more characteristic of depression or dementia rather than the acute, fluctuating attention seen in delirium.

E. Patients with delirium often display inattention and an inability to focus, leading to distractibility and wandering attention.

A. Increased expressiveness in communication with others. B. Tolerates social interactions for short periods without disruption or frustration. C. Improved abilities to participate in cooperative play with other children. D. Abilities to identify anxiety and implement self-control strategies.

Correct Answer is C

Explanation

A. While communication may improve indirectly, the primary goal of stimulant therapy for ADHD is to reduce hyperactivity and impulsivity, not directly increase verbal expressiveness.

B. This may be a secondary benefit, but the main desired outcome is improved behavioral control during social interactions, particularly in play.

C. Stimulant medications like amphetamine salts help the child control impulsive behavior, reduce hyperactivity, and improve attention, allowing participation in cooperative play and structured activities.

D. Self-regulation skills develop with behavioral interventions and therapy, not directly from medication alone.

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Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

A child diagnosed with ADHD shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior?

Correct Answer is C

Explanation

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse

A depressed patient says, "nothing matters anymore." What is the most appropriate response by the nurse?

A nurse in a substance abuse clinic is assessing a client who was recently prescribed disulfiram. The patient suddenly stopped taking this medication and is now complaining of severe nausea and vomiting. What should the nurse suspect is likely the cause of the client's distress?

A hospitalized client diagnosed with alcohol use disorder believes spiders are spinning webs in the room to entrap him. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?

Which individual in the emergency department should be considered at highest risk for completing suicide?

A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?