A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?
"I spend lots of time searching for new recipes."
"I have so much energy."
"I enjoy wearing form-fitting clothes to show off my body."
"I know I am skinny."
The Correct Answer is D
Rationale:
A. Spending time searching for new recipes does not necessarily indicate anorexia nervosa and might be associated with interest in food without consumption.
B. Reporting high energy levels is not characteristic of anorexia nervosa, where clients often suffer from fatigue due to inadequate nutrition.
C. Enjoying wearing form-fitting clothes is more indicative of a positive body image, which is not typical of those with anorexia nervosa.
D. The statement "I know I am skinny" reflects an awareness of low body weight, which, in the context of anorexia nervosa, might indicate a distorted body image and an unhealthy focus on being underweight.
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Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Individual therapy is a standard therapeutic approach, not considered complementary or alternative therapy.
B. Group therapy is also a standard therapeutic approach rather than a complementary or alternative therapy.
C. Pet therapy is a complementary therapy that involves interaction with animals to improve mental and physical health.
D. Meditation is a complementary therapy that promotes relaxation and mental well-being through mindfulness and mental focus techniques.
E. Yoga is a complementary therapy that combines physical postures, breathing exercises, and meditation to enhance overall health and well-being.
Correct Answer is C
Explanation
Rationale:
A. HIV infection can cause cognitive impairment, but it typically does not present with fluctuating cognition and visual hallucinations as primary symptoms.
B. Traumatic brain injury can lead to cognitive changes, but it is not typically associated with fluctuating cognition and visual hallucinations.
C. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and motor symptoms, making it the most likely diagnosis for these symptoms.
D. Prion disease is associated with rapidly progressive dementia but not specifically with fluctuating cognition and visual hallucinations.