Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?

Anorexia nervosa

Binge eating

Eating disorder not otherwise specified

Bulimia nervosa

Answer and Explanation

The Correct Answer is A

A. Key features include severe weight loss, distorted body image, restrictive eating, and preoccupation with food (e.g., cooking for others but eating very little). Wearing loose layers to hide weight is also typical.

B. This disorder involves recurrent episodes of eating large amounts of food, often rapidly, which is not described here.

C. This category is used when symptoms do not fully meet criteria for anorexia or bulimia; the patient’s presentation fits anorexia nervosa criteria.

D. Bulimia involves bingeing and compensatory behaviors like vomiting or laxative use; no binge episodes are described in this case.

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Correct Answer is B

Explanation

A. Distinguishing between reality and fantasy shows intact cognition, not mental illness.
B. A persistent sad, hopeless mood suggests depression, a hallmark of mental illness when symptoms are severe and ongoing.
C. Occasional anxiety and insomnia can be normal stress responses, not necessarily mental illness.
D. Difficulty making a decision about work is a common life stressor, not a clear sign of mental illness.

A. Obtain a blood specimen. B. Implement seizure precautions. C. Perform a neurological exam D. Insert an intravenous (IV) access site.

Correct Answer is B

Explanation

A. While laboratory tests are important for assessing electrolyte imbalances and liver function, they are not the immediate priority in acute alcohol withdrawal.

B. Acute alcohol withdrawal can rapidly lead to seizures and delirium tremens, which are life-threatening. Patient safety and prevention of injury are the priority.

C. Neurological assessment is important, but first ensuring the client’s safety from potential seizures takes precedence.

D. IV access is necessary for fluid or medication administration, but it follows implementing immediate safety measures.

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Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

Correct Answer is B

Explanation

A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse first take?

Correct Answer is B

Explanation

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