In an art therapy session, a client with anorexia nervosa was asked to draw a picture of herself. Which drawing would likely depict the client's view of herself?

Correct Answer: C

Rationale: The correct answer is C because individuals with anorexia nervosa often have a distorted body image and see themselves as larger than they actually are. Drawing a grossly obese figure lacking feminine characteristics reflects the distorted self-perception common in anorexia nervosa. Choice A is incorrect as it portrays a positive body image. Choice B may be close, but it focuses more on malnourishment rather than distorted body image. Choice D is incorrect as it reflects admiration for a shapely figure, which may not align with the client's self-perception.

Correct Answer: C

Rationale: The correct answer is C. Self-reflecting on personal feelings regarding body weight and size is crucial for the nurse to be aware of any biases or triggers that may affect patient care. Understanding personal attitudes towards body image can prevent unintentional harm or judgment towards patients. A: Becoming familiar with the unit's policies and procedures is important but not the top priority when dealing with patients with eating disorders. B: Arranging to mentor with a nurse who has experience on the unit can be helpful but does not address the nurse's personal biases. D: Attending an educational seminar is valuable but may not address the nurse's own attitudes towards body image.

Correct Answer: B

Rationale: The correct answer is B because the statement reflects emotional reasoning, a common cognitive distortion in eating disorders. The patient believes that bingeing is an effective way to cope with feelings of isolation and loneliness, which is not a healthy or rational belief. This cognitive distortion can perpetuate the cycle of disordered eating behavior. A: This choice shows a healthy realization and decision-making process, indicating a positive step towards recovery. C: While controlling food intake may be a coping mechanism, it doesn't necessarily indicate a cognitive distortion. D: This choice demonstrates awareness of triggers, which is important for managing the disorder, but it doesn't necessarily indicate a cognitive distortion.

Correct Answer: A

Rationale: In the context of adolescent healthcare, confidentiality plays a crucial role in facilitating open discussions about psychosocial issues. Adolescents often hesitate to discuss sensitive topics due to fear of judgment or breach of confidentiality. Option A, the non-judgmental approach of the physician, is NOT cited as a barrier by adolescents when confidentiality is assured. This is because a non-judgmental approach creates a safe space for adolescents to express themselves without fear of criticism. On the other hand, options B, C, and D are commonly cited barriers. Personal embarrassment towards discussing sensitive topics (Option B) is a significant barrier as adolescents may feel uncomfortable or ashamed discussing certain issues. Feeling rushed by the physician (Option C) can also hinder effective communication as adolescents may perceive a lack of time for thorough discussions. Additionally, if the physician does not initiate discussions about sensitive topics (Option D), adolescents may not feel comfortable bringing up these issues themselves. Educationally, it is vital for healthcare providers to understand these barriers to communication with adolescents to provide effective care. By ensuring confidentiality, maintaining a non-judgmental approach, allowing sufficient time for discussions, and proactively addressing sensitive topics, healthcare providers can better support adolescents in addressing psychosocial issues and promoting their overall well-being.

Correct Answer: B

Rationale: In addressing the question of where a family doctor outside the polyclinic should refer an adolescent patient for psychotherapy/counselling, it is crucial to consider the appropriateness and accessibility of the options provided. The correct answer is B) Nearby polyclinic. This option is not suitable for referring an adolescent patient for psychotherapy/counselling because the question specifies "outside the polyclinic," indicating that the referral should be made to a location other than the polyclinic itself. Referring the patient back to the polyclinic would not align with the intention of seeking external specialized support. A) Local Social Service Office may be a suitable place for referral as they often have resources and connections to mental health services for adolescents in need. C) Patient's school could be another appropriate referral option, as schools often have counselors or psychologists who can provide support to students facing mental health challenges. D) A reputable restructured hospital may also be a suitable place for referral, as they typically have specialized mental health professionals and resources to support adolescent patients in need of psychotherapy/counselling. From an educational standpoint, it is essential for healthcare providers to be aware of appropriate referral pathways for patients requiring specialized care, especially when it comes to mental health support for adolescents. Understanding the different resources available in the community and knowing how to make appropriate referrals can significantly impact the well-being and recovery of young patients facing mental health issues.