A 51-year-old woman is diagnosed with primary osteoarthritis (OA) of the knee. The NP will educate the woman that which of the following could have contributed to or might worsen her OA?
Diabetes mellitus, a congenital abnormality, obesity
Overuse of joints, obesity, diabetes mellitus
Overuse of joints, obesity, aging
Overuse of joints, obesity, a congenital abnormality
The Correct Answer is C
Choice A reason: Diabetes mellitus is a metabolic disorder and is not a primary contributor to OA; congenital abnormalities alone are less commonly a major factor.
Choice B reason: While overuse and obesity contribute to OA, diabetes mellitus is not considered a key causal factor.
Choice C reason: OA risk increases with mechanical stress on joints, cumulative overuse, obesity that increases joint load, and aging-related degeneration of cartilage, making this the most accurate combination of contributing factors.
Choice D reason: Congenital abnormalities can predispose to OA in some cases, but aging is a far more common contributing factor overall.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The parietal lobe is primarily responsible for spatial orientation, sensory integration, and perception rather than executive functions such as planning and organizing.
Choice B reason: The temporal lobe is mainly involved in auditory processing, memory, and language comprehension. It is not the primary center for planning and sequencing complex tasks.
Choice C reason: The occipital lobe is dedicated to visual processing and does not play a central role in executive function or organization.
Choice D reason: The frontal lobe is the key region responsible for executive functions, including planning, sequencing, organizing, and decision-making. The clock-drawing test assesses these abilities, highlighting frontal lobe function.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Reduced need for sleep is a hallmark feature of hypomanic episodes in bipolar disorder and is not typical of ADHD.
Choice B reason: Symptoms that occur episodically rather than consistently over time suggest a mood disorder rather than a chronic condition like ADHD.
Choice C reason: Rapid speech can occur in both ADHD and hypomanic episodes, making it less specific.
Choice D reason: Racing thoughts are characteristic of hypomanic episodes in bipolar disorder, helping distinguish it from ADHD.
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