A nurse in an eating disorders treatment center is reviewing the medical record of a newly admitted client. Which of the following findings should the nurse identify as a risk factor for anorexia nervosa?
Paranoid personality disorder
Schizotypal personality disorder
History of attention deficit hyperactivity disorder
History of obsessive-compulsive disorder
The Correct Answer is D
Rationale:
A. Paranoid personality disorder: This disorder is marked by distrust and suspicion of others, but it is not closely associated with the development of anorexia nervosa. It does not typically involve the rigid control over food and body image seen in eating disorders.
B. Schizotypal personality disorder: While schizotypal personality disorder involves social anxiety and eccentric behaviors, it is more aligned with psychotic spectrum disorders than with the rigid and perfectionistic traits commonly seen in anorexia nervosa.
C. History of attention deficit hyperactivity disorder: ADHD may be more associated with impulsive eating behaviors and a higher risk for binge eating or bulimia nervosa, rather than the restrictive and perfectionistic traits seen in anorexia nervosa.
D. History of obsessive-compulsive disorder: OCD is a significant risk factor for anorexia nervosa due to the overlap in obsessive thoughts and compulsive behaviors. Individuals with OCD often display rigid routines, perfectionism, and intrusive thoughts about food, body image, and control—all of which are common features in anorexia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. "My advance directives will list what treatments I want if I'm unable to communicate.": Advance directives allow individuals to specify their healthcare preferences in situations where they are incapacitated. This includes decisions about life-sustaining treatments, resuscitation, and other medical interventions.
B. "My advance directives must be signed by my adult child in the presence of a judge.": Advance directives usually require the client’s signature and the signatures of two adult witnesses or notarization, depending on state laws. A judge’s involvement is typically not required.
C. "My family will be informed about my funeral choices in my advance directives.": Funeral or postmortem arrangements are not addressed in advance directives. These documents strictly relate to medical care preferences and decision-making in the event the client becomes unable to speak for themselves.
D. “I can indicate the organs will donate in my advance directives.": While some advance directive forms may include a section about organ donation, formal organ donor registration is typically completed through a driver’s license, organ donor card, or state registry—not as the main purpose of an advance directive.
Correct Answer is D
Explanation
Rationale:
A. Erythema toxicum: This is a common and benign rash seen in newborns. It is not infectious, poses no public health risk, and does not require mandatory reporting.
B. Bacterial vaginosis: Although it is a vaginal infection, bacterial vaginosis is not classified as a reportable condition. It does not pose the same level of public health concern as sexually transmitted infections like gonorrhea.
C. Molluscum contagiosum: Molluscum contagiosum is a viral skin infection that is generally self-limiting and not considered a reportable disease. It does not require public health intervention in most cases.
D. Gonorrhea: Gonorrhea is a nationally notifiable disease in many countries, including the United States, due to its infectious nature and potential for serious complications. Public health reporting is required to track, treat, and prevent its spread.
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