Which of the following is an expected history associated with Wernicke-Korsakoff syndrome?

Current rehabilitation for opiate addiction.

Personal history of alcohol use disorder.

Family history of Alzheimer's disease.

Undergoing current treatment for HIV.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Current rehabilitation for opiate addiction, while significant, is not typically associated with Wernicke-Korsakoff syndrome. Opiate addiction primarily affects the brain's reward system and pain pathways and does not usually lead to the specific nutritional deficiencies seen in Wernicke-Korsakoff syndrome.

Choice B reason:

A personal history of alcohol use disorder is strongly associated with Wernicke-Korsakoff syndrome. Chronic alcohol consumption can lead to poor nutritional intake and absorption, particularly of thiamine (vitamin B1), which is crucial for brain function. The deficiency of thiamine is the primary cause of Wernicke-Korsakoff syndrome, leading to damage in the central and peripheral nervous systems.

Choice C reason:

A family history of Alzheimer's disease is not directly related to Wernicke-Korsakoff syndrome. While both conditions affect memory and cognitive function, Wernicke-Korsakoff syndrome is specifically related to thiamine deficiency, often due to alcohol misuse, rather than the genetic factors associated with Alzheimer's disease.

Choice D reason:

Undergoing current treatment for HIV is not an expected history specifically associated with Wernicke-Korsakoff syndrome. Although individuals with HIV may experience cognitive impairments, these are generally related to the virus's effects on the brain rather than the nutritional deficiencies that characterize Wernicke-Korsakoff syndrome.

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Correct Answer is D

Explanation

Choice A reason:

Notifying the facility chaplain to request scheduling an appointment may be helpful for some clients, but it assumes the client's willingness or desire for spiritual support. It should not be the first action taken without assessing the client's preferences and needs.

Choice B reason:

Confirming that everything will be all right because belongings can be replaced may seem reassuring, but it can also come across as dismissive of the client's emotional distress. Material possessions often have sentimental value, and their loss can be deeply traumatic beyond their monetary worth.

Choice C reason:

Identifying other housing options and sources of transportation is a practical step and may eventually be part of the care plan. However, it should not be the immediate focus when the client is in acute emotional distress and unable to think clearly.

Choice D reason:

Maintaining eye contact with the client and summarizing the client's feelings is an empathetic approach that validates the client's experience. It demonstrates active listening and provides emotional support, which is crucial in the immediate aftermath of a traumatic event.

A. Prior physical health followed by the need for two surgeries within the last three months. B. Sudden unexplained loss of peripheral sensation. C. Obsession over a fictitious defect in physical appearance. D. Continuous worry about the undiagnosed presence of an illness.

Correct Answer is D

Explanation

Choice A reason:

A history of prior physical health issues and surgeries may contribute to health-related anxieties, but they are not specific findings expected in illness anxiety disorder. This disorder is characterized by excessive worry about having a serious illness, not necessarily a history of actual health problems.

Choice B reason:

Sudden unexplained loss of peripheral sensation could be a symptom of a neurological condition and is not a typical finding in illness anxiety disorder. Individuals with this disorder are preoccupied with the idea of being ill rather than experiencing unexplained physical symptoms.

Choice C reason:

An obsession over a fictitious defect in physical appearance is more indicative of body dysmorphic disorder rather than illness anxiety disorder. While both disorders involve preoccupation with health and appearance, illness anxiety disorder focuses on the fear of having a serious illness.

Choice D reason:

Continuous worry about the undiagnosed presence of an illness is a central feature of illness anxiety disorder. Individuals with this disorder are excessively concerned about the possibility of having a serious, undiagnosed medical condition despite lack of or minimal somatic symptoms

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Which of the following is an expected history associated with Wernicke-Korsakoff syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following actions should the nurse take for a client who lost all possessions in a house fire and states, "I have no idea what I am going to do. I cannot think right now."?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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