A 16-year-old girl is brought to the PMHNP by her mother for evaluation. The mother thinks her daughter is "crazy" because she wants a nose job. The girl says she looks "hideous” with her big nose, and she will get plastic surgery as soon as she can afford it. Upon examination, the girl denies excessive preoccupation with her appearance, such as repetitive behaviors or mental acts. She says she does not compare her nose to other people's, nor does she make attempts to hide her nose. She says she is not "crazy" and that plastic surgery is common. The mother is upset because her daughter is "too beautiful" to need surgery. Which diagnosis would be most appropriate?
Body dysmorphic disorder
Delusional disorder, somatic type
Normal age-appropriate appearance concerns
Narcissistic personality disorder
The Correct Answer is C
Choice A reason: Body dysmorphic disorder involves excessive preoccupation and repetitive behaviors regarding perceived defects, which this patient does not exhibit.
Choice B reason: Delusional disorder, somatic type, involves fixed false beliefs about bodily defects, which are not present here.
Choice C reason: Correct. The patient’s concern is typical adolescent interest in appearance and does not impair function or cause distress beyond normal expectations.
Choice D reason: Narcissistic personality disorder involves grandiosity, need for admiration, and lack of empathy, which is not indicated in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Mild to moderate HIV infection does not contraindicate MMR vaccination; however, severe immunosuppression may require deferral.
Choice B reason: MMR is a live attenuated vaccine and is contraindicated in pregnancy due to potential risk to the fetus. Vaccination should be deferred until postpartum.
Choice C reason: History of neomycin allergy may contraindicate MMR, but mild or past reactions may be assessed individually; often, only severe anaphylaxis is an absolute contraindication.
Choice D reason: A school-age child with HIV who is not severely immunocompromised may safely receive the MMR vaccine to prevent infection.
Correct Answer is A
Explanation
Choice A reason: EMDR is an evidence-based psychotherapy specifically indicated for PTSD. It involves processing traumatic memories using bilateral stimulation to reduce distress and emotional reactivity.
Choice B reason: Primal scream therapy is largely unscientific and lacks strong evidence for PTSD treatment; it focuses on emotional catharsis but does not systematically address trauma.
Choice C reason: Hypnotherapy may help with relaxation or suggestion but is not the primary evidence-based treatment for PTSD and does not reliably reduce flashbacks or nightmares.
Choice D reason: Psychodrama involves role-playing past events but is less structured and evidence-supported compared to EMDR in PTSD treatment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
