NU 673 PSYCHIATRIC MENTAL HEALTH CARE REVIEW EXAM
WITH CORRECT Q & A UPDATED 2024
The nurse is admitting an adolescent reporting severe depression
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amenorrhea. What additional assessment findings by the nurse would
suggest the client may develop anorexia nervosa?
Select all that apply
1. Tight fitting clothes
2. Oily, elastic skin
3. Brittle, dry nails
4. Gingival infections
5. Low blood pressure - 3. & 5. Correct: This client is reporting symptoms
consistent with anorexia nervosa, a serious and potentially life-threatening
eating disorder that develops secondary to the type of family or social
stress experienced in adolescence. In addition to severe depression and
amenorrhea, the nurse has identified brittle, dry nails, and a low blood
pressure secondary to weight loss as additional indications of anorexia
nervosa.
1. Incorrect: Despite the fact that anorexic clients experience severe weight
loss, they continue to view themselves as heavy and generally wear loose
fitting clothing to hide what they perceive as an overweight body.
2. Incorrect: Because of skeletal muscle atrophy and poor nutritional intake,
anorexic clients display sallow, dry skin with brittle nails and hair. Oily, nonelastic skin would not be noted in a client with anorexia nervosa.
4. Incorrect: Gingival infections and dental caries are typical of clients with
bulimia, another eating disorder in which stomach acid from frequent
vomiting causes gum infections or dental caries. This is not common in
anorexics.
A teenage client asks the nurse, "Do you think I should tell my parents about
my sexuality?" What is the nurse's best response?
1. "What do you think you should do?"
2. "Absolutely, I think you should tell your parents."
3. "Don't you think your parents have the right to know about your
sexuality?"
4. "I do not think now is the right time to tell your parents. Wait until you
are 21." - 1. Correct: It is better to say "What do you think you should do?"
This helps the client reflect on options and does not have the nurse tell the
client what to do. It is much more therapeutic to help the client make the
decision for themselves, instead of the nurse. This prevents any biases
from impacting the outcome.
2. Incorrect: All of these responses give advice to the client. Telling the
client what to do or how to behave which implies that the nurse knows what
is best and that the client is not capable of making any decisions.
3. Incorrect: All of these responses give advice to the client. Telling the
client what to do or how to behave which implies that the nurse knows what
is best and that the client is not capable of making any decisions.
4. Incorrect: All of these responses give advice to the client. Telling the
client what to do or how to behave which implies that the nurse knows what
is best and that the client is not capable of making any decisions.
An adolescent client, diagnosed with anorexia nervosa, discloses an
incestuous relationship to a nurse. What is the most therapeutic response
by the nurse?
1. "It's okay. Let's talk about this."
2. "Have you discussed this with your primary healthcare provider?"
3. "Can you tell me how you feel about what happened?"
4. "Tell me more about what happened when you were younger." - 3.
Correct: The nurse is using a therapeutic approach by encouraging the
client to express feelings about the relationship using an open-ended
question.
1. Incorrect: The nurse is providing false reassurance by saying, "It's okay."
This is a statement not a question to see how the client feels about talking
with the nurse. The nurse should use open-ended questions to determine
whether or not the client wishes to discuss the incestuous relationship
further at this time. [Show Less]