The nurse is teaching a group of young adults regarding nonmodifiable risk factors for the development of type 1 diabetes mellitus. Which attendee statement indicates a need for further instruction? (Select all that apply.)

Type 1 diabetes mellitus can be passed on from one recessive gene from one parent

"There are genes such as the HLA-DR3 and HLA-DR4 genes that can cause type 1 diabetes mellitus

"I can develop type 1 diabetes mellitus from bacterial infections.

"Type 1 diabetes mellitus can be caused by exposure to excessive heat and temperatures."

"Type 1 diabetes mellitus is caused by exposure to processing of metals and proteins."

Answer and Explanation

Correct Answer : A,C,D,E

A. Type 1 diabetes is not caused by a single recessive gene. It has a genetic component but typically involves multiple genes, with HLA-DR3 and HLA-DR4 being associated with increased risk, and is often triggered by autoimmune reactions.
B. The HLA-DR3 and HLA-DR4 genes are associated with an increased genetic risk for type 1 diabetes, as it is an autoimmune condition that destroys insulin-producing cells in the pancreas.
C. While infections (including viral infections) can sometimes trigger the onset of type 1 diabetes, bacterial infections themselves do not cause the condition. It is autoimmune in nature, where the body attacks its insulin-producing cells.
D. Excessive heat and temperatures do not cause type 1 diabetes. The condition is driven by genetic and autoimmune factors, not environmental ones like heat.
E. Exposure to processing of metals and proteins does not cause type 1 diabetes. The disease is primarily associated with genetic predisposition and autoimmune destruction of pancreatic beta cells.

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Correct Answer is A

Explanation

A. Anorexia nervosa is characterized by a distorted body image, where individuals often perceive themselves as overweight, despite being underweight. The statement "I know I am skinny" reflects the client's awareness of their thinness, but in the context of anorexia nervosa, this is often associated with a skewed perception and excessive concern with body weight.
B. Excessive energy might be seen in some clients with anorexia nervosa due to the body's stress response or the effects of malnutrition, but it is not a defining feature.
C. Spending time searching for new recipes may reflect an interest in food, but it doesn’t directly indicate anorexia nervosa. In fact, many people with anorexia may avoid food-related activities due to anxiety or fear of eating.
D. Enjoying wearing form-fitting clothes may indicate a desire to show off one's body, but it does not directly reflect the core symptoms of anorexia nervosa, where individuals often avoid clothing that reveals their body shape.

A. Have a clinical breast examination every 3 years. B. Have a mammogram every 5 years. C. Have an annual clinical breast examination. D. Have a mammogram every 3 years.

Correct Answer is C

Explanation

A. Clinical breast examination (CBE) should be done annually for women at higher risk, not every 3 years.
B. Mammograms are generally recommended every year starting at age 40 for women at average risk. For those with a strong family history of breast cancer, earlier and more frequent screening may be advised.
C. An annual clinical breast examination (CBE) is recommended for women, especially those with a higher risk of breast cancer, such as a family history. This allows healthcare providers to check for any abnormalities in the breasts.
D. Mammograms every 3 years are generally not sufficient for women at higher risk; they should start annual mammograms at age 40, or possibly earlier based on family history or genetic factors.

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The nurse is teaching a group of young adults regarding nonmodifiable risk factors for the development of type 1 diabetes mellitus. Which attendee statement indicates a need for further instruction? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?

Correct Answer is A

Explanation

The nurse is caring for a 45-year-old female patient with a strong family history of breast cancer. What does the nurse teach the patient regarding cancer prevention?

Correct Answer is C

Explanation

A patient, who is admitted with diabetes mellitus, has a glucose level of 380 mg/dL and a moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis, which respiratory pattern would the nurse expect to find?

After 1 week of sudden continuous mental confusion, an older African American client is admitted with a preliminary diagnosis of Alzheimer's disease (AD). What should cause the nurse to question this diagnosis?

Which statement by a patient who was recently diagnosed with cancer indicates an understanding of the pathogenesis of cancer?

A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

A client with a history of cerebrovascular accident is brought to an emergency department experiencing memory problems, confusion, and disorientation. Based on this client's assessment data, on which medical diagnosis would the nurse focus the plan of care?

A nurse reads in a client chart that the client is 92 years old. According to the US. Census Bureau, the nurse knows that the client is classified as what stage of older adulthood?

A nurse is providing education to a group of clients about the health effects of eating disorders. Which of the following client statements indicates an understanding of the teaching?

A nurse is teaching a client who was diagnosed with prolonged grief disorder about the importance of cognitive behavioral therapy (CBT), which of the following client statements indicates an understanding of the teaching?