What is the main issue for adolescents with anorexia?

Appropriate behavior

Control

Anxiety

Body image

Answer and Explanation

The Correct Answer is D

D. Body image disturbance is a fundamental issue in anorexia nervosa. Adolescents with anorexia often have a distorted perception of their body size and shape, seeing themselves as overweight even when significantly underweight. This distorted body image drives their obsessive behaviors around food restriction and excessive exercise in an attempt to achieve an unrealistic and unhealthy body image.

A. While adolescents with anorexia may exhibit behaviors related to food restriction, excessive exercise, or other rituals, the core issue goes beyond simply adhering to appropriate behavior. Anorexia nervosa is driven by deep-seated fears, anxieties, and perceptions related to body image and weight.

B. Control is a central issue in anorexia nervosa. Adolescents often use strict control over food intake and exercise as a way to manage overwhelming feelings of anxiety, fear, and uncertainty. By controlling their food intake and weight, individuals with anorexia may seek to regain a sense of mastery and control over their lives amidst other stressors.

C. Anxiety is a common comorbidity in individuals with anorexia nervosa, but it is not the primary issue. Anxiety often stems from fears related to weight gain, body image dissatisfaction, and the perceived loss of control. Anxiety exacerbates the obsessive thoughts and behaviors around food and weight seen in anorexia nervosa.

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Correct Answer is ["A","C","D","F"]

Explanation

A. Irritability is a common symptom of depression in adolescents. They may become easily annoyed, frustrated, or angered, often over minor issues.

B. Euphoria, which refers to an exaggerated feeling of happiness or excitement, is not typically associated with depression. Instead, it may indicate a different mood disorder, such as bipolar disorder.

C. Adolescents with depression often experience decreased energy levels or fatigue. They may feel physically drained and lack motivation to engage in usual activities.

D. Social withdrawal and isolation from peers is a significant behavioral indicator of depression. Adolescents may avoid social activities, stop participating in hobbies, or spend more time alone.

E. Grandiosity refers to an exaggerated sense of one's importance, abilities, or achievements. This symptom is more characteristic of certain mood disorders like bipolar disorder or narcissistic personality disorder rather than depression.

F. Feelings of loneliness and social isolation are common in adolescents with depression. They may feel disconnected from others, even if they are physically present in social settings.

A. Give the client two aspirin tablets and monitor his headache and heart rate B. Notify the physician immediately C. Notify the physician when convenient D. Reassure the client that these are common side effects of his medication

Correct Answer is B

Explanation

B. This is the correct priority action. Serotonin syndrome can be life-threatening if not promptly recognized and treated. The physician needs to be notified immediately so that appropriate actions can be taken to manage the client's symptoms and potentially adjust the medication regimen.

A. Aspirin is not appropriate for treating serotonin syndrome. Monitoring the client's symptoms is important, but this action does not address the potential seriousness of the symptoms described.

C. Delaying notification could lead to worsening of symptoms and potential complications. Given the potential seriousness of serotonin syndrome, waiting until it's convenient is not appropriate.

D. While headache, palpitations, and stiffness could potentially be side effects of antidepressant medication, the combination of these symptoms raises concern for serotonin syndrome, which requires immediate medical attention rather than reassurance alone.

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What is the main issue for adolescents with anorexia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

Correct Answer is ["A","C","D","F"]

Explanation

The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action?

Correct Answer is B

Explanation

Depression in adolescence usually is related to loneliness, family strengths, self-esteem, and which of the following?

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?

Assessment of a client reveals severe and sudden mood swings from mania to depression. Which diagnosis should the nurse suspect?

Which client would the nurse expect to prepare for electroconvulsive therapy (ECT)?

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

Hospitalization of a client with a dissociative disorder is required in which situation?

Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)?