A 52-year-old woman is at her regular medication management appointment with her PMHNP. Her father was recently diagnosed with Alzheimer's disease, and she wants to know what herbal products she can use to prevent memory loss. She tells the PMHNP, "I have heard a lot about ginkgo biloba being good for the brain and memory. What's your opinion?"
"Nothing over the counter has ever been proven to work to prevent Alzheimer's disease."
"I understand your concern, and while there is no evidence that ginkgo biloba prevents Alzheimer's disease or dementia, it's certainly your choice to take this product."
"If it were me, I wouldn't waste my money."
"Don't worry about it; there is a very small chance that you will develop dementia."
The Correct Answer is B
Choice A reason: While factually correct, this statement is dismissive and does not validate the patient’s autonomy or concerns.
Choice B reason: This response is accurate and patient-centered, acknowledging the lack of proven benefit while respecting the patient’s choice to use ginkgo biloba.
Choice C reason: This is a personal opinion rather than an evidence-based, professional response and may seem judgmental.
Choice D reason: This statement minimizes the patient’s concern and may provide false reassurance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While true, this choice is a general health benefit and does not directly explain the reduction in knee pain or functional loss.
Choice B reason: This choice is correct because mechanical load on the knee joint increases disproportionately with body weight. Even a small amount of weight loss significantly reduces joint stress, thereby improving pain and function in osteoarthritis.
Choice C reason: Reducing cardiovascular strain is beneficial but does not directly impact knee joint load or osteoarthritis symptoms.
Choice D reason: Preventing falls is important but is an indirect benefit; the primary mechanism for pain reduction is decreased mechanical load on the joint.
Correct Answer is A
Explanation
Choice A reason: Dissociative identity disorder is characterized by the presence of two or more distinct identities or personality states and amnesia for daily events, which aligns with the patient’s symptoms.
Choice B reason: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor but does not include dissociation or multiple identities.
Choice C reason: Schizotypal personality disorder involves eccentric behavior, perceptual distortions, and odd beliefs but does not include distinct identities or memory gaps.
Choice D reason: Malingering is intentional production of false symptoms for external gain, whereas this patient demonstrates involuntary dissociative experiences.
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