A 15-year-old boy is newly diagnosed with type 1 diabetes mellitus (T1DM). The nurse practitioner is educating both he and his mother about the disease. Which of the following statements is incorrect?
"This disease may be linked to autoimmunity."
"The age of onset is usually prior to age 20."
"In this disease, the beta islet cells of the pancreas are destroyed."
"Metformin is the first-line medication for treatment."
The Correct Answer is D
Choice A reason: T1DM is autoimmune in origin, where immune-mediated destruction of pancreatic beta cells leads to insulin deficiency.
Choice B reason: T1DM often manifests in childhood or adolescence, consistent with onset prior to age 20.
Choice C reason: Destruction of pancreatic beta cells results in lack of insulin production, explaining hyperglycemia in T1DM.
Choice D reason: This is incorrect. First-line treatment for T1DM is insulin therapy, not metformin, which is used for type 2 diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: EMDR is effective for PTSD broadly but is not the first-line treatment specifically for nightmares.
Choice B reason: Hypnosis has limited evidence and is not considered a first-line treatment for PTSD-related nightmares.
Choice C reason: Progressive muscle relaxation may reduce general anxiety but has limited efficacy for nightmare-specific symptoms.
Choice D reason: This is correct. Image rehearsal therapy has the highest level of evidence for reducing the frequency and intensity of PTSD-related nightmares. It involves rescripting the nightmare during wakefulness to alter its content and emotional impact.
Correct Answer is D
Explanation
Choice A reason: T1DM is autoimmune in origin, where immune-mediated destruction of pancreatic beta cells leads to insulin deficiency.
Choice B reason: T1DM often manifests in childhood or adolescence, consistent with onset prior to age 20.
Choice C reason: Destruction of pancreatic beta cells results in lack of insulin production, explaining hyperglycemia in T1DM.
Choice D reason: This is incorrect. First-line treatment for T1DM is insulin therapy, not metformin, which is used for type 2 diabetes.
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