Nursing Elites

1. Which of the following characteristics best describes differences between bulimia nervosa and anorexia nervosa?

• A. Individuals with anorexia nervosa do not have as severe health risks as individuals with bulimia nervosa have.
• B. Individuals with bulimia nervosa may have a normal body weight.
• C. Individuals with anorexia nervosa have been known to binge like those with bulimia nervosa on occasion.
• D. Only those with bulimia nervosa display compensatory behaviors.

Correct answer: B

Rationale: The correct answer is B. Individuals with bulimia nervosa may maintain a normal body weight, while anorexia nervosa is often associated with severe underweight. Choice A is incorrect because individuals with anorexia nervosa actually face severe health risks due to malnutrition, electrolyte imbalances, and other complications. Choice C is incorrect as anorexia nervosa is characterized by restriction of food intake rather than binge eating. Choice D is incorrect as individuals with anorexia nervosa can also display compensatory behaviors such as excessive exercise or fasting.

2. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

3. In the 5th substage of sensorimotor development, what does Piaget refer to as 'experimentation,' where the infant tries out new ways of playing with or manipulating objects?

• A. Short-term memory
• B. Working memory
• C. Core memories
• D. Long-term memory

Correct answer: D

Rationale: The correct answer is D, 'Long-term memory.' In the 5th substage of sensorimotor development, Piaget refers to 'experimentation' as tertiary circular reactions, where the infant tries out new ways of playing with or manipulating objects. This stage involves exploring and testing different ways of interacting with the world to understand cause and effect relationships. Choices A, B, and C are incorrect as they do not align with Piaget's concept of tertiary circular reactions and experimentation in the sensorimotor stage of development.

4. Cortisol is a hormone that ________

• A. is released by the hypothalamus and travels to the pituitary gland, causing it to respond.
• B. the pituitary gland releases to stimulate the adrenal gland.
• C. the adrenal gland produces that mobilizes the body to deal with stress.
• D. reduces the reuptake of the monoamine neurotransmitters.

Correct answer: C

Rationale: The correct answer is C. Cortisol is a hormone produced by the adrenal gland that mobilizes the body to deal with stress. It helps regulate metabolism, reduce inflammation, and assist in memory formulation. Choice A is incorrect as cortisol is not released by the hypothalamus and does not travel to the pituitary gland. Choice B is incorrect as cortisol is not released by the pituitary gland but acts on it to regulate hormone production. Choice D is incorrect as cortisol does not reduce the reuptake of monoamine neurotransmitters.

5. What is the significance of early intervention in preventing mental disorders?

• A. Early intervention has no significant impact on preventing mental disorders.
• B. Early intervention is critical in reducing the risk of developing mental disorders.
• C. Early intervention can sometimes exacerbate mental disorders.
• D. Early intervention is only effective in severe cases.

Correct answer: B

Rationale: Early intervention is crucial in preventing or mitigating the development of mental disorders by addressing issues before they fully develop. Choice A is incorrect because early intervention plays a significant role in preventing mental disorders. Choice C is incorrect as early intervention aims to improve mental health outcomes. Choice D is incorrect as early intervention is effective across various stages of mental health conditions, not just in severe cases.

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