A nurse is reviewing the care plan for an adolescent client who has Crohn's disease with a newly licensed nurse. Which of the following statements from the student indicates an understanding of the difference between ulcerative colitis and Crohn's disease? (Select All that Apply.)
"Crohn's disease primarily causes inflammation of the colon."
"Crohn's disease can cause inflammation in any part of the digestive tract."
"Crohn's causes continuous inflammation rather than the patches of inflammation."
"Ulcerative colitis affects the inner lining of the intestine."
"Ulcerative colitis causes inflammation through the entire intestinal wall."
Correct Answer : B,D
A. "Crohn's disease primarily causes inflammation of the colon.": Crohn's disease can affect any part of the gastrointestinal tract, not just the colon. Limiting inflammation to the colon is more characteristic of ulcerative colitis.
B. "Crohn's disease can cause inflammation in any part of the digestive tract.": This statement is correct. Crohn's disease can involve any segment from the mouth to the anus, often in a patchy, transmural pattern, distinguishing it from ulcerative colitis.
C. "Crohn's causes continuous inflammation rather than the patches of inflammation.": Crohn's disease is characterized by patchy, “skip” lesions, whereas continuous inflammation is typical of ulcerative colitis.
D. "Ulcerative colitis affects the inner lining of the intestine.": This is accurate. Ulcerative colitis primarily affects the mucosa and submucosa of the colon and rectum, in contrast to Crohn's transmural involvement.
E. "Ulcerative colitis causes inflammation through the entire intestinal wall.": Transmural inflammation is a hallmark of Crohn's disease, not ulcerative colitis. Ulcerative colitis usually affects only the superficial layers of the intestinal wall.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Formula feeding is easier and will let you get more rest, so it's definitely the better option now.": This statement introduces personal judgment and implies superiority of one feeding method over another. It may invalidate the mother’s autonomy and oversimplifies infant feeding decisions. Nursing communication should remain neutral and supportive rather than directive or comparative.
B. "I can help you learn how to properly prepare and safely store formula to ensure your infant receives safe nutrition.": This response respects the mother’s informed choice while prioritizing infant safety and adequate nutrition. Teaching correct formula preparation, dilution, and storage reduces the risk of infection, electrolyte imbalance, and inadequate caloric intake. It reflects patient-centered, nonjudgmental nursing care.
C. "Since formula feeding is not as beneficial as breastfeeding, you should only use it as a last resort.": This statement is judgmental and may increase parental guilt or distress. While breastfeeding has immunologic benefits, formula feeding can fully support normal growth when used correctly. Nursing support should focus on safe feeding practices rather than persuasion.
D. "Breastfeeding provides better immunity, so I strongly recommend you reconsider and continue breastfeeding.": This response disregards the mother’s decision and undermines autonomy. Pressuring the parent may damage trust and does not address the immediate need for education on formula use. Supportive counseling should align with the family’s chosen feeding method.
Correct Answer is ["A","C","E"]
Explanation
A. Fixation on certain items or topics: Children with ASD often develop intense interests or focus on specific objects or topics, which is a characteristic behavior and should be included in parental education.
B. Frequent changes in routine: Children with ASD typically struggle with changes in routine and may become distressed when routines are disrupted, so frequent changes are not characteristic and should not be encouraged.
C. Display of self-harming behaviors such as head-banging: Some children with ASD may engage in self-injurious behaviors, including head-banging or biting, particularly during times of frustration or sensory overload.
D. Spontaneous and unpredictable behaviors: Behaviors in ASD are usually repetitive or predictable rather than spontaneous; unpredictability is not a defining characteristic.
E. Adhering to a rigid routine: A strong preference for sameness and strict adherence to routines is common in children with ASD and should be recognized by caregivers.
F. Avoidance of repetitive activities: Children with ASD typically engage in repetitive behaviors such as hand-flapping, rocking, or repeating words, so avoidance of these is not typical.
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