A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?

Metrorrhagia.

Tachycardia.

Hyperkalemia.

Constipation.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B: Tachycardia.

Choice A rationale:

Metrorrhagia (Choice A) refers to irregular or excessive uterine bleeding between menstrual periods. While anorexia nervosa can disrupt menstrual cycles, causing amenorrhea, metrorrhagia is not a common associated finding.

Choice B rationale:

Tachycardia (Choice B), or an abnormally fast heart rate, is a hallmark of anorexia nervosa. The severe calorie restriction and electrolyte imbalances associated with anorexia can lead to cardiac complications, including rapid heart rate, as the body tries to compensate for the lack of nutrients.

Choice C rationale:

Hyperkalemia (Choice C), which is elevated levels of potassium in the blood, is not a typical finding in anorexia nervosa. Electrolyte imbalances in anorexia more commonly involve decreased potassium levels (hypokalemia) due to inadequate intake and excessive purging.

Choice D rationale:

Constipation (Choice D) is a possible consequence of anorexia nervosa. Reduced food intake can lead to decreased bowel movements and constipation. However, tachycardia is a more specific and significant finding associated with anorexia nervosa.

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Correct Answer is A

Explanation

Choice A rationale:

This statement requires intervention by the charge nurse. The nurse is making a judgmental suggestion to the client about how they should approach their marital issues. The nurse's role is to provide support, empathy, and open-ended questions that allow the client to explore their feelings and thoughts. Making a directive statement like this can be perceived as controlling and dismissive of the client's feelings.

Choice B rationale:

Relationship difficulties being stressful and requiring effort to resolve is an appropriate and empathetic response from the nurse. This acknowledges the client's struggles and offers validation without imposing a particular solution.

Choice C rationale:

Developing a plan for communication is a constructive approach that helps the client address their concerns. This response is within the nurse's scope of practice and promotes problem-solving and effective communication between partners.

Choice D rationale:

Encouraging the client to share more about their concerns regarding their marriage is a therapeutic response. It shows active listening and facilitates the client's exploration of their feelings, which is an essential aspect of the nursing role in a therapeutic relationship.

A. Periods of elation with unusual talkativeness. B. Recurrent thoughts of past trauma. C. Preoccupied with folding clothes. D. Invents words that have no meaning.

Correct Answer is D

Explanation

Choice A rationale:

Periods of elation with unusual talkativeness. Rationale: While periods of elation with unusual talkativeness can be associated with certain mental health conditions, such as bipolar disorder, they are not specific to schizophrenia. These symptoms are more indicative of mania, which is characteristic of bipolar disorder.

Choice B rationale:

Recurrent thoughts of past trauma. Rationale: Recurrent thoughts of past trauma can be associated with various mental health disorders, including post-traumatic stress disorder (PTSD), but they are not specific to schizophrenia. Schizophrenia is primarily characterized by disturbances in thought processes, perception, and behavior.

Choice C rationale:

Preoccupied with folding clothes. Rationale: Preoccupation with folding clothes is not a hallmark symptom of schizophrenia. Schizophrenia is characterized by symptoms such as hallucinations, delusions, disorganized thinking, and impaired social functioning.

Choice D rationale:

Invents words that have no meaning. Rationale: This statement is correct. Inventing words that have no meaning, also known as "neologisms," is a symptom often observed in individuals with schizophrenia. Neologisms are a manifestation of disorganized thinking and communication.

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A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is sharing information regarding concerns about their marriage. The client states "My spouse and I argue most times." Which of the following statements by the nurse requires intervention by the charge nurse?

Correct Answer is A

Explanation

A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?

Correct Answer is D

Explanation

A nurse is caring for a client diagnosed with a mental illness on a psychiatric unit. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (Select all that apply).

A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?

A nurse is caring for an older adult client who was alert and oriented at admission but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs?

A nurse notices that a client who has moderate anxiety is pacing the corridor and rambling. As the nurse approaches, the client states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?

A nurse on the medical unit is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.).