A 53-year-old woman of Asian descent was recently diagnosed with osteoporosis. Which of the following is NOT considered a risk factor for fracture in patients with osteoporosis?
High body mass index
Female sex
Smoking
Alcohol intake
The Correct Answer is A
Choice A reason: High BMI is generally protective against fractures because increased body mass provides mechanical loading that strengthens bones.
Choice B reason: Female sex is a recognized risk factor due to lower peak bone mass and postmenopausal estrogen deficiency.
Choice C reason: Smoking accelerates bone loss and increases fracture risk by impairing bone formation and calcium absorption.
Choice D reason: Excessive alcohol intake is detrimental to bone health and increases fracture risk through multiple mechanisms including falls and bone metabolism impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This question targets somatic concerns, not generalized anxiety symptoms.
Choice B reason: This question assesses depersonalization or derealization, which are dissociative experiences.
Choice C reason: This is correct. Persistent worry about multiple life domains over several months is characteristic of generalized anxiety disorder and is central to evaluating anxiety symptoms.
Choice D reason: This question screens for manic or hypomanic episodes, which are not specific to anxiety disorders.
Correct Answer is B
Explanation
Choice A reason: Starting alprazolam alone may provide rapid relief but risks dependence and does not address long-term management.
Choice B reason: Correct. SSRIs provide long-term management, while short-term low-dose benzodiazepines can reduce acute anxiety. Combined with psychotherapy, this strategy balances safety and efficacy.
Choice C reason: Starting an SSRI alone provides long-term benefit but does not address immediate panic symptoms, which the patient is requesting.
Choice D reason: Psychotherapy alone is beneficial, but medication may be necessary for immediate symptom relief in severe panic attacks.
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