The inability to fall asleep or stay asleep is called:

Correct Answer: A

Rationale: The correct answer is A: Insomnia. Insomnia refers to the inability to fall asleep or stay asleep, leading to difficulties in getting enough sleep. It is a common sleep disorder affecting many people. Narcolepsy (B) is a disorder characterized by excessive daytime sleepiness and sudden sleep attacks. Hypersomnia (C) is a condition involving excessive daytime sleepiness but differs from insomnia. Choice D is incorrect as the term "insomnia" precisely describes the inability to fall or stay asleep.

Correct Answer: C

Rationale: The correct response is C: Explaining that weight gain is part of the treatment plan. This answer is correct because in treating anorexia nervosa, it is essential for patients to understand that weight gain is necessary for recovery and overall health improvement. By explaining this, the nurse can help the patient develop a more positive attitude towards weight gain and recognize it as a crucial aspect of the treatment process. Choices A, B, and D are incorrect: A: Minimizing the patient's concerns may invalidate their feelings and hinder therapeutic communication. B: Encouraging weight loss would be counterproductive and reinforce the patient's negative behaviors and beliefs. D: Simply agreeing with the patient's view on body image without addressing the need for weight gain would not promote positive change or support the patient's recovery.

Correct Answer: D

Rationale: The correct answer is D: Denial of hunger at all times. In anorexia nervosa without bingeing or purging, patients typically deny hunger despite severe weight loss. This is due to their distorted body image and fear of gaining weight. Assessing for denial of hunger helps in understanding their mindset and severity of the disorder. Explanation of why other choices are incorrect: A: Extroverted personality traits - Anorexia nervosa is often associated with introverted personality traits, not extroverted. B: Abuse of diuretics and laxatives - This behavior is more characteristic of bulimia nervosa, not anorexia nervosa without bingeing or purging. C: Claims of sexual activity - This choice is unrelated to the typical features of anorexia nervosa without bingeing or purging.

Correct Answer: A

Rationale: The correct answer is A because journal writing can help individuals with personality disorders recognize and better understand their emotions, leading to improved self-awareness and emotional regulation. This can be a useful tool in therapy and self-management. Choice B is incorrect because individuals with personality disorders often struggle with interpersonal relationships and might benefit from seeking support or guidance rather than attempting to solve problems independently. Choice C is incorrect because avoidance does not address the underlying issues and can lead to isolation and maladaptive coping mechanisms. Choice D is incorrect because simply trying to alleviate problematic behaviors without addressing the underlying emotional issues may not lead to long-term improvement in relationships.

Correct Answer: A

Rationale: The correct answer is A: Severe dehydration and electrolyte imbalances. Untreated bulimia nervosa involves recurrent episodes of binge-eating followed by compensatory behaviors like purging. Purging can lead to fluid loss and electrolyte imbalances, causing dehydration. This can result in serious health complications such as cardiac arrhythmias and kidney damage. Rapid weight gain and fluid retention (B) are more associated with binge-eating disorder, not bulimia nervosa. Chronic constipation and digestive issues (C) are more commonly seen in anorexia nervosa. Severe malnutrition and organ failure (D) are potential complications of anorexia nervosa rather than bulimia nervosa.