Exhibits

The nurse reviews the clinical findings.

For each of the findings listed, click to indicate which are consistent with the disease process of major depressive disorder, generalized anxiety disorder, or posttraumatic stress disorder. Each column must have at least one response selected.

Avoidance

Suicidal ideation

Nightmares

Feelings of guilt

Lack of interest

Sleep disturbance

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"B,C"},"E":{"answers":"B"},"F":{"answers":"A,B,C"}}

Rationale:

Avoidance: Avoidance of reminders of the trauma, including people, places, or conversations related to the event, is a core diagnostic criterion for PTSD. The client avoids visiting fellow platoon members, suggesting avoidance behavior linked to her combat trauma.
Suicidal ideation: Thoughts of death or suicide are hallmark symptoms of MDD. The client was found writing a suicide note and planning to shoot herself, which strongly supports the diagnosis of MDD.
Nightmares: Recurrent distressing dreams or nightmares related to the traumatic event are common in PTSD. The client reports frequent nightmares linked to her war experience.
Feelings of guilt: Excessive guilt is common in MDD, often irrational and self-deprecating. In PTSD, survivors’ guilt is prevalent, especially when others died in the traumatic event, as expressed by the client lamenting that her life was spared over her comrades'.
Lack of interest: Markedly diminished interest or pleasure in previously enjoyed activities is a core symptom of MDD. The client’s withdrawal from social connections reflects this loss of interest.
Sleep disturbance: Insomnia is prevalent in GAD due to excessive worry, in MDD due to mood dysregulation, and in PTSD due to nightmares and hyperarousal. The client’s reported insomnia applies to all three conditions.

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Correct Answer is ["B","D"]

Explanation

Rationale:

A. Lentils: Lentils are high in fiber and are not part of a full liquid diet because they require chewing and contain residue. They are appropriate for a soft or regular diet, not a full liquid one.

B. Tea: Tea is a clear liquid and is included in a full liquid diet. It requires no chewing and leaves no residue, making it suitable postoperatively.

C. Whole grain breads: Breads are solid foods and not permitted on a full liquid diet. They require chewing and do not meet the consistency guidelines for this diet type.

D. Potato soup: Smooth, blended soups like potato soup are appropriate for a full liquid diet as long as there are no chunks. They provide calories and are easy to swallow.

E. Cheese: Cheese is a solid food and is not permitted on a full liquid diet.

A. Immunosuppressive therapy. B. Chemotherapy. C. Bone marrow transplantation. D. Blood transfusions.

Correct Answer is C

Explanation

Rationale:

A. Immunosuppressive therapy:This is a common treatment for aplastic anemia when a matched donor is unavailable, especially in older children and adults. However, it is less curative and carries a higher risk of relapse compared to bone marrow transplantation.

B. Chemotherapy: Chemotherapy is not the primary treatment for aplastic anemia. It is mainly used in malignancies. In some cases, chemotherapy may precede transplantation or be part of immunosuppressive therapy, but it is not curative alone.

C. Bone marrow transplantation: This is the treatment of choice and offers the best prognosis, particularly in children with a matched sibling donor. It provides a potential cure by replacing the defective marrow with healthy stem cells.

D. Blood transfusions: Transfusions manage symptoms and prevent complications like anemia or bleeding but do not treat the underlying cause. Long-term use increases the risk of iron overload and alloimmunization.

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Exhibits The nurse reviews the clinical findings. For each of the findings listed, click to indicate which are consistent with the disease process of major depressive disorder, generalized anxiety disorder, or posttraumatic stress disorder. Each column must have at least one response selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting diet teaching for a client who is on a postoperative full liquid diet, which food(s) should the nurse encourage the client to eat? Select all that apply.

Correct Answer is ["B","D"]

Explanation

A child is diagnosed with acquired aplastic anemia. The nurse knows that this child has the best prognosis with which treatment regimen?

Correct Answer is C

Explanation

The public health nurse receives funding to initiate a primary prevention program in the community. Which program best fits the nurse's proposal?

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Exhibits The primary nurse reviews the client's history and vital signs. Select the 3 priority assessment findings that require immediate follow up.

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Exhibits

The nurse reviews the clinical findings.

For each of the findings listed, click to indicate which are consistent with the disease process of major depressive disorder, generalized anxiety disorder, or posttraumatic stress disorder. Each column must have at least one response selected.