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 D
Explanation
Choice A reason: The MMR vaccine is contraindicated during pregnancy because it is a live attenuated vaccine, which could pose a risk to the fetus.
Choice B reason: The Varicella vaccine is also live attenuated and not recommended during pregnancy; vaccination is advised prior to conception.
Choice C reason: The MenB vaccine is generally not part of routine prenatal immunization unless there is a specific risk factor.
Choice D reason: The Tdap vaccine protects against pertussis, which is critical during pregnancy to confer passive immunity to the newborn. It is recommended in the third trimester regardless of previous vaccination status.
Correct Answer is C
Explanation
Choice A reason: Heavy alcohol consumption has not been consistently linked to an increased risk of Parkinson’s disease and is not considered a primary etiologic factor.
Choice B reason: Smoking has actually been associated with a lower risk of developing Parkinson’s disease in epidemiological studies, possibly due to neuroprotective effects of nicotine.
Choice C reason: Exposure to environmental toxins, such as pesticides or herbicides, is a recognized risk factor for Parkinson’s disease. These toxins can cause dopaminergic neuron damage, contributing to disease development.
Choice D reason: Early childhood hypoxia may contribute to neurological vulnerabilities but is not a primary recognized risk factor for Parkinson’s disease.
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