A 41-year-old Malaysian man is referred to the PMHNP following an incident at work. He says a coworker insulted him, and the next thing he knows the police were called. He does not remember attacking the coworker, but he was arrested for assault. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?
Ataque de nervios
Khayal
Possession syndrome
Amok
The Correct Answer is D
Choice A reason: Ataque de nervios is common in Latin American cultures and involves intense emotional upset with crying, trembling, and verbal or physical aggression, often in response to a stressor, but usually within a family context.
Choice B reason: Khayal is a Southeast Asian cultural syndrome involving anxiety with physical symptoms like palpitations and dizziness, not violent outbursts.
Choice C reason: Possession syndrome involves acting under the control of a spirit or external entity but is distinct from culturally recognized violent episodes such as amok.
Choice D reason: Amok is a culture-bound syndrome observed in Malaysia and other Southeast Asian regions, characterized by sudden, dissociative episodes of violent behavior, often followed by amnesia for the event. This aligns with the patient's presentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: DMARDs act on the underlying inflammatory process in rheumatoid arthritis, modifying disease progression.
Choice B reason: DMARDs slow or prevent joint damage and improve long-term functional outcomes.
Choice C reason: DMARDs are a heterogeneous group, including traditional and biologic agents, administered orally, subcutaneously, or intravenously.
Choice D reason: Symptom improvement is typically delayed and may take 6–12 weeks or longer after starting DMARD therapy; expecting improvement in 3 weeks is inaccurate.
Correct Answer is A
Explanation
Choice A reason: A transverse fracture is a horizontal break across the bone, not diagonal. A diagonal break is an oblique fracture.
Choice B reason: A greenstick fracture occurs when the bone bends and cracks on one side without breaking completely, consistent with the definition provided.
Choice C reason: Comminuted fractures involve the bone being crushed into multiple fragments, accurately described.
Choice D reason: Segmental fractures involve the same bone being broken in two or more distinct places, leaving a floating segment between breaks, consistent with the description.
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