A 21-year-old woman receives a diagnosis of Crohn's disease. The nurse practitioner provides education about the diagnosis. Which of the following statements by the patient indicates the need for further teaching?
"I should meet with a dietitian to learn which foods to eat and what to avoid."
"This is a disease that can be cured once we find the right medication for me."
"I will need regular, ongoing care by a team of healthcare professionals."
"I might need surgery one day, if I develop complications."
The Correct Answer is B
Choice A reason: Meeting with a dietitian is appropriate and supports disease management, helping reduce flare-ups through nutritional guidance.
Choice B reason: Crohn’s disease is a chronic, relapsing inflammatory bowel disease with no known cure. Medications manage symptoms and reduce inflammation but cannot cure the disease. This statement indicates misunderstanding and the need for further education.
Choice C reason: Regular ongoing care is necessary for monitoring disease activity, managing medications, and preventing complications, which is correct.
Choice D reason: Surgery may be required for complications such as strictures or fistulas. Acknowledging potential surgical intervention demonstrates correct understanding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The PHQ-9 is a tool used primarily to assess depressive symptoms and is not designed to track anxiety severity or response to anti-anxiety medications.
Choice B reason: The BPRS evaluates psychotic and general psychiatric symptoms such as hallucinations, delusions, and affective disturbances. It is not specific to anxiety measurement.
Choice C reason: The STAI measures state and trait anxiety but is less commonly used in clinical practice to track response to pharmacologic treatment in generalized anxiety disorder compared to the HAM-A, which is a standard tool.
Choice D reason: The HAM-A is a clinician-rated scale that assesses the severity of anxiety symptoms over time. It is widely used to monitor treatment response in generalized anxiety disorder, making it the most appropriate tool in this context.
Correct Answer is C
Explanation
Choice A reason: Hypertension is not typically associated with fungal infections or vaginal candidiasis and does not increase susceptibility to this condition.
Choice B reason: Multiple sclerosis itself is not a direct risk factor for vaginal yeast infections, although immune modulation from treatments could potentially increase risk.
Choice C reason: Diabetes mellitus is correct. Elevated blood glucose levels can promote fungal growth and increase the risk of recurrent vulvovaginal candidiasis.
Choice D reason: Chronic fatigue syndrome is not a recognized risk factor for vaginal yeast infections. While it may affect overall immunity indirectly, it does not directly predispose to this infection.
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