A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:

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Question 1 of 5

A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:

Correct Answer: C

Rationale: Rationale: C is correct because it directly addresses the assessment of eating patterns by inquiring about the patient's actual food intake. This question provides valuable information on the quantity and quality of food consumed, aiding in diagnosing and treating eating disorders. Other choices are incorrect: A is focused on body image and self-perception, not eating patterns. B is about family dynamics, not the patient's individual eating habits. D pertains to body weight perception, not the specifics of the patient's diet.

Question 2 of 5

A drug causes muscarinic receptor blockade. The nurse will assess the patient for

Correct Answer: A

Rationale: The correct answer is A: Dry mouth. Muscarinic receptor blockade inhibits the action of acetylcholine, leading to decreased salivary gland secretion and causing dry mouth. Gynecomastia (B) is associated with antiandrogen medications. Pseudoparkinsonism (C) is a side effect of antipsychotic medications that block dopamine receptors. Orthostatic hypotension (D) is a side effect of alpha-1 adrenergic receptor blockade.

Question 3 of 5

A severely depressed patient with psychomotor retardation has begun activities therapy. His schedule is: 9 AM, ceramics; 10 AM, exercise group; 11 AM to noon, open; noon, lunch. The nurse creating the patient's schedule should opt to fill the hour block from 11 AM to noon with:

Correct Answer: B

Rationale: The correct answer is B: A rest period. Providing a rest period during the hour block from 11 AM to noon is crucial for a severely depressed patient with psychomotor retardation. This patient may experience fatigue and decreased energy levels due to their condition. Allowing for a rest period can help prevent overstimulation and promote relaxation, which is essential for mental well-being. Group therapy (choice A) may be too overwhelming for the patient at this time. Reminiscence group (choice C) may not be as beneficial for immediate symptom management. Individual counseling (choice D) may be helpful but may not align with the patient's immediate need for rest and relaxation.

Question 4 of 5

Family members of a patient newly diagnosed with paranoid schizophrenia state that they do not understand what caused the patient's illness. The nurse's response should be predicated on the:

Correct Answer: A

Rationale: The correct answer is A, the Neurobiological-genetic model, because paranoid schizophrenia is known to have a strong genetic component. Research has shown that individuals with a family history of schizophrenia are at a higher risk of developing the disorder. The neurobiological aspect refers to the abnormalities in brain structure and function associated with schizophrenia, such as neurotransmitter imbalances. Therefore, the nurse should educate the family members about the genetic predisposition and neurobiological factors contributing to the patient's illness. Choices B, C, and D are incorrect: B: The Stress model focuses on the role of environmental stressors in triggering or exacerbating mental illness, which is not the primary cause of paranoid schizophrenia. C: The Family theory model emphasizes family dynamics and interactions as contributing factors to mental illness, but it is not the primary cause of paranoid schizophrenia. D: The Developmental model looks at how early childhood experiences and developmental stages may influence mental health outcomes, but it is not the primary etiology of paranoid

Question 5 of 5

A newly admitted client has the diagnosis of catatonic schizophrenia. The nurse would expect to assess:

Correct Answer: A

Rationale: Rationale: A: Psychomotor symptoms are characteristic of catatonic schizophrenia, such as stupor or excessive motor activity. B: Intense suspiciousness is more indicative of paranoid schizophrenia, not catatonic schizophrenia. C: Inappropriate affect is a symptom seen in other types of schizophrenia but not specific to catatonic schizophrenia. D: Clanging communication is associated with disorganized schizophrenia, not catatonic schizophrenia. In catatonic schizophrenia, psychomotor symptoms like stupor, rigidity, or excitement are prominent.

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