A client diagnosed with an eating disorder experiences insomnia, ...

[torybrooks]

A client diagnosed with an eating disorder experiences insomnia, nightmares, and panic attacks that occur before bedtime. She has never married or dated, and she lives alone. She states to a nurse, My father has recently moved back to town.
 
   What should the nurse suspect? 1. Possible major depressive disorder
  2. Possible history of childhood incest
  3. Possible histrionic personality disorder
  4. Possible history of childhood physical abuse

Question 2

A client diagnosed with vascular neurocognitive disorder (NCD) is discharged to home under the care of his wife. Which information should cause the nurse to question the client's safety?
 
  1. His wife works from home in telecommunication.
  2. The client has worked the nightshift his entire career.
  3. His wife has minimal family support.
  4. The client smokes one pack of cigarettes per day.

[katkat_flores]

Answer to Question 1

2
Rationale: The nurse should suspect that this client may have a history of childhood incest. Adult survivors of incest are at risk for developing post-traumatic stress disorder, sexual dysfunction, somatization disorders, compulsive sexual behavior disorders, depression, anxiety, eating disorders, and substance abuse disorders.

Answer to Question 2

4
Rationale: The nurse should question the client's safety at home if the client smokes cigarettes. Vascular NCD is a clinical syndrome of NCD due to significant cerebrovascular disease. The cause of vascular NCD is related to an interruption of blood flow to the brain. Hypertension is a significant factor in the etiology.

[torybrooks]

Thanks for the timely response, appreciate it

[kswal303]

Wow, this really help