What are the hallmark symptoms of scoliosis? (Select all that apply)
Specifically the unevenness in the shoulders, hips, ribs
Asymmetry of the spine
The curvature of the spine itself
Insomnia
Decreased appetite
Correct Answer : A,B,C
Choice A reason: Unevenness in shoulders, hips, and ribs is a hallmark of scoliosis, resulting from lateral spinal curvature altering body alignment. This asymmetry, visible on physical exam, stems from vertebral rotation and is a key diagnostic feature, reflecting structural changes in the spine.
Choice B reason: Asymmetry of the spine, seen as lateral deviation on imaging, is a defining feature of scoliosis. Vertebral misalignment causes visible deformities, like rib humps, due to rotational forces, making this a primary symptom used in diagnosis and severity assessment.
Choice C reason: Curvature of the spine itself is the core characteristic of scoliosis, measured by Cobb’s angle on X-rays. This lateral deviation, often idiopathic, distinguishes scoliosis from normal spinal alignment, making it a fundamental symptom for diagnosis and treatment planning.
Choice D reason: Insomnia is not a hallmark of scoliosis. While severe scoliosis may cause discomfort affecting sleep, it is not a primary symptom. Scoliosis primarily involves structural spinal changes, not neurological or psychological effects like insomnia, making this choice incorrect.
Choice E reason: Decreased appetite is not associated with scoliosis. Scoliosis affects spinal alignment, not metabolic or gastrointestinal functions. Appetite changes may occur in other conditions but are not a hallmark of scoliosis’s musculoskeletal presentation, making this choice irrelevant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The occipital lobe primarily processes visual information, not emotions. It interprets visual stimuli but does not judge them as positive or negative, which is a function of the limbic system. This makes the statement incorrect for explaining the brain’s role in emotional regulation.
Choice B reason: The medulla oblongata regulates vital functions like heart rate and breathing, not psychological activities or emotions. Emotional regulation involves higher brain structures like the limbic system, making this statement inaccurate for addressing the client’s question about emotions.
Choice C reason: The limbic system, including the amygdala and hippocampus, regulates emotions by processing fear, pleasure, and memory. It modulates emotional responses via neurotransmitter pathways and is implicated in depression, making this the correct and most accurate response to the client’s question.
Choice D reason: The parietal lobe processes sensory information and spatial awareness, not emotions. While depression may involve broader brain dysfunction, the parietal lobe is not primarily linked to emotional regulation, making this statement incorrect compared to the limbic system’s role.
Correct Answer is D
Explanation
Choice A reason: Enjoying form-fitting clothes to show off one’s body suggests body confidence, not typical of anorexia nervosa, where individuals often have distorted body image and fear weight gain. This statement reflects a positive self-perception, inconsistent with the disorder’s psychological profile.
Choice B reason: Spending time searching for recipes does not align with anorexia nervosa, where individuals restrict food intake due to intense fear of weight gain. This behavior suggests interest in food preparation, more associated with other eating patterns, not anorexia’s restrictive nature.
Choice C reason: Claiming high energy levels contradicts anorexia nervosa, which often causes fatigue due to severe caloric restriction and malnutrition. Low energy results from depleted glycogen stores and metabolic slowdown, making this statement inconsistent with the disorder’s physiological effects.
Choice D reason: Acknowledging being skinny, often with dissatisfaction, is characteristic of anorexia nervosa. Despite low body weight, individuals perceive themselves as fat due to distorted body image, driven by psychological factors and possibly serotonin dysregulation, making this statement a key indicator of the disorder.
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