A 36-year-old woman of Chinese descent presents to the PMHNP after a referral from her primary care physician, who has worked up her physical complaints. These physical complaints include headaches, dizziness, and abdominal pain. The patient says she also experiences insomnia, difficulty concentrating, anxiety, and fatigue. These symptoms started approximately 6 months ago, after her husband had an affair, which he ended. She is also under stress at work, since she just received a promotion. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?
Shenjing Shuairuo
Susto
Kufungisisa
Khayal
The Correct Answer is A
Choice A reason: Shenjing Shuairuo is a culture-bound syndrome in Chinese populations characterized by fatigue, somatic complaints, sleep disturbances, and difficulty concentrating in response to stress, which aligns with this patient’s presentation.
Choice B reason: Susto is a Latin American syndrome associated with fright or trauma causing soul loss, often accompanied by somatic symptoms, which is not culturally consistent with this patient.
Choice C reason: Kufungisisa is a Zimbabwean culture-bound syndrome involving excessive thinking leading to somatic complaints, which does not align with the patient’s cultural background.
Choice D reason: Khayal is a Southeast Asian culture-bound syndrome linked to anxiety and somatic symptoms, but it is not typical in Chinese populations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Avoiding weight-bearing activity is contraindicated in osteoporosis management. Regular weight-bearing exercises strengthen bones and improve balance, reducing fracture risk.
Choice B reason: Yoga improves balance, flexibility, and strength, contributing positively to osteoporosis management and fall prevention.
Choice C reason: Smoking and excessive alcohol consumption negatively affect bone density; cessation is an important preventive measure.
Choice D reason: Adequate calcium intake supports bone health and is essential in osteoporosis management, along with vitamin D and exercise.
Correct Answer is C
Explanation
Choice A reason: Lamictal metabolism is affected by valproate; failing to adjust the dose increases the risk of toxicity.
Choice B reason: Doubling the dose would increase the risk of serious adverse effects, including life-threatening rash.
Choice C reason: Valproate inhibits Lamictal metabolism, so the dose of Lamictal must be reduced to avoid toxic accumulation.
Choice D reason: The two medications are not contraindicated; they can be used together with proper dose adjustment.
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