A client, age 18 years, is referred to the mental health center by the primary care physician. The
following history is given. The client and her mother began to visit colleges to which the client had
applied.
When not traveling, the client spent the summer cooking gourmet meals for her family.
Eventually, the mother noticed that the client was eating only tiny portions of the food, saying she
wasn't hungry because she had tasted while she cooked. She began wearing several layers of loose
clothing, saying she liked the style. At summer's end the client had a physical examination for the
school sports program. Her weight had dropped from 130 to 95 pounds and she had amenorrhea. The
history and symptoms are most consistent with the medical diagnosis of
a. anorexia nervosa.
b. bulimia nervosa.
c. binge eating.
d. eating disorder not otherwise specified.
A
Overcontrol of eating behaviors, extreme weight loss, amenorrhea, preoccupation with food, and
wearing several layers of loose clothing to appear larger are part of the clinical picture of an
individual with anorexia nervosa. Option B: The bulimic individual usually is near normal weight.
Option C: The binge eater is often overweight. Option D: The client with eating disorder not
otherwise specified may be obese.
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A patient who is visiting the clinic complains of having "stomach pains for 2 weeks" and describes his stools as being "soft and black" for approximately the last 10 days. He denies taking any medications. The nurse is aware that these symptoms are mostly indicative of:
a. Excessive fat caused by malabsorption. b. Increased iron intake, resulting from a change in diet. c. Occult blood, resulting from gastrointestinal bleeding. d. Absent bile pigment from liver problems.
Which of the following items should be included when providing patient teaching about monoamine oxidase inhibitor (MAOI) antidepressants (select all that apply):
A. Avoid foods containing the amino acid tyramine. B. Have blood levels screened weekly for leukopenia. C. Need sun exposure at least 1 hour a day. D. Don't take prescribed or over-the-counter medications without consulting the physician.
The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses that are slow and unintelligible
What is the most appropriate position for the patient? a. Neck placed in a neutral position b. Head raised slightly with hips flexed c. Supine in gravity neutral position d. Turn on right side with head elevated
During the interview portion of her first prenatal visit, a woman reports she thinks she may have a vaginal infection. When questioned, she reports the discharge is thick, greenish–yellow, and she is very uncomfortable
She reports she thinks it is "yeast." Based upon your knowledge, how should you reply? A) "You are describing gonorrhea." B) "Yeast is usually a thick, cheesy, white discharge so we will need to evaluate it during the pelvic exam." C) "You have a sexually transmitted disease." D) "You may have Chlamydia so we will need to perform a pelvic exam."