The nurse understands that which medication has been used with some success in clients diagnosed with anorexia nervosa along with depression?

fluoxetine

sibutramine

carbamazepine

diazepam

Answer and Explanation

The Correct Answer is A

a. fluoxetine: Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), has been used with some success in treating anorexia nervosa, especially when comorbid with depression. It can help with mood stabilization and reducing obsessive-compulsive behaviors related to food.
b. sibutramine: Sibutramine was an appetite suppressant used for weight loss, but it has been withdrawn from the market in many countries due to cardiovascular risks. It is not used for treating anorexia nervosa.
c. carbamazepine; Carbamazepine is an anticonvulsant and mood stabilizer, primarily used for bipolar disorder and seizure disorders. It is not commonly used for anorexia nervosa.
d. diazepam: Diazepam is a benzodiazepine used primarily for anxiety, muscle spasms, and seizures. It does not have a primary role in the treatment of anorexia nervosa and depression.

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Correct Answer is A

Explanation

a. Pulling out their hair (Correct): Trichotillomania is a mental health disorder characterized by the repetitive pulling out of one's hair. This behavior often serves as a way to cope with anxiety or negative emotions. It's the defining characteristic of the condition.
b. Pretending to be sick: Malingering, or pretending to be sick for secondary gain, is not a characteristic behavior of Trichotillomania.
c. Aphanie: Aphanie is a complete or partial loss of the sense of touch. It's not related to anxiety relief or Trichotillomania.
d. Amnesia: Amnesia is memory loss. While anxiety can be a contributing factor in some amnestic cases, it's not a behavior used to relieve anxiety.

A. to obtain information about the client's medical history. B. to establish limit setting. C. to determine the client's IQ. D. a method of organizing clinical observations.

Correct Answer is D

Explanation

a. To obtain information about the client's medical history: While the MSE might reveal medical history clues, its primary focus is on mental status.
b. To establish limit setting: Limit setting is a separate therapeutic technique, not a function of the MSE.
c. To determine the client's IQ: IQ tests are separate assessments used to measure intelligence, not a function of the MSE.
d. a method of organizing clinical observations: A Mental Status Exam (MSE) is a structured way to assess a client's cognitive and emotional state. It focuses on areas like orientation, memory, attention, mood, and thought processes.

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The nurse understands that which medication has been used with some success in clients diagnosed with anorexia nervosa along with depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with Trichotillomania. The client has relieved the anxiety over the years by doing what type of behavior?

Correct Answer is A

Explanation

The nurse recognizes that a function of the Mental Status Exam is:

Correct Answer is D

Explanation

A 16-year-old client diagnosed with schizophrenia disorder experiences command hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come from?" Which is the appropriate nursing response?

At what point should the nurse determine that a client is at risk for developing mental illness? When:

The nurse is caring for a client who lost the ability to use their arm. All tests have ruled out any medical diagnosis. The nurse understands that the loss of use of the arm is a symptom of:

What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?

A client asks the nurse to promise to keep confidential a plan the client has to kill their father. Which of the following statements would be the best response for the nurse to make?

A client exhibiting dependent behaviors says, "Do you think I should move from my parent's house and get a job?" Which nursing response is most appropriate?

While planning care for a client with anorexia nervosa, the nurse determines that a realistic outcome would be that the client will:

A client with schizophrenia is receiving teaching from the nurse about their prescribed medication, Chlorpromazine. Which of the following client statements indicates an understanding of the teaching?