A 23-year old male presents to the outpatient clinic for his annual physical exam. He endorses periods of bingeing on certain foods, and then feeling guilty and attempting to purge the calories by inducing vomiting, drinking excessive amounts of coffee and taking laxatives. A nurse observes dental deterioration when assessing the patient. What explains this assessment finding?
Food is rapidly ingested without proper mastication.
Poor dental and oral hygiene leads to dental caries.
Purging causes the depletion of dietary calcium.
The emesis produced during purging is acidic and corrodes the tooth enamel.
The Correct Answer is D
A. Food is rapidly ingested without proper mastication: Rapid eating may contribute to gastrointestinal discomfort or increased calorie intake, but it does not directly cause dental deterioration or enamel erosion.
B. Poor dental and oral hygiene leads to dental caries: While poor oral hygiene can exacerbate dental problems, enamel erosion in patients who purge is primarily due to chemical exposure rather than hygiene practices alone.
C. Purging causes the depletion of dietary calcium: Purging may affect overall nutritional status, but the loss of calcium is not the direct cause of visible dental erosion. Tooth enamel damage occurs through chemical means rather than mineral depletion.
D. The emesis produced during purging is acidic and corrodes the tooth enamel: Repeated vomiting exposes teeth to gastric acid, which is highly erosive. The acid softens and wears away enamel over time, leading to dental deterioration, sensitivity, and increased risk of cavities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Neurocognitive disorder: Progressive memory decline that interferes with personal, social, and occupational functioning is a defining feature of neurocognitive disorders. Impaired judgment and reduced attention span reflect declining executive function and cortical involvement. The gradual progression distinguishes this condition from acute or reversible cognitive changes.
B. Pseudodementia: Pseudodementia is associated with depression and often presents with abrupt onset and fluctuating cognitive complaints. Clients are usually aware of and distressed by their deficits, and cognitive function may improve with treatment of the underlying mood disorder. The course is not typically progressive.
C. Delirium: Delirium is characterized by an acute onset of confusion, fluctuating levels of consciousness, and impaired attention. It is usually triggered by an underlying medical condition, medication, or infection. The rapid onset contrasts with the progressive changes described.
D. Mania: Mania presents with elevated mood, decreased need for sleep, pressured speech, and impulsive behavior. Cognitive impairment is not the primary feature, and memory loss is not typically progressive. Attention may be increased rather than shortened due to heightened activity.
Correct Answer is ["A","B","C"]
Explanation
A. New onset inappropriate anger: Adolescents with depression often exhibit irritability or angry outbursts instead of classic sadness. This emotional dysregulation can be a prominent presenting feature and may disrupt relationships and daily functioning.
B. Exaggerated somatic complaints: Physical complaints such as headaches, stomachaches, or generalized aches without a clear medical cause are common in depressed adolescents. These somatic symptoms often reflect emotional distress and can precede overt mood changes.
C. Insomnia onset: Changes in sleep patterns, including difficulty falling asleep or staying asleep, are frequent in adolescent depression. Sleep disruption contributes to fatigue, irritability, and impaired concentration.
D. Inflated self-esteem: Inflated self-esteem is more characteristic of mania or hypomania rather than depression. Depressive episodes are generally associated with low self-worth, guilt, or feelings of hopelessness rather than elevated self-perception.
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.
