A client comes into the Emergency Department diagnosed with a fractured right wrist and states, "I am fine, really, because it is all my fault. I knew he was in a bad mood and I got in his way." The nurse should recognize which cycle of battery is this client in?

Phase I

Phase III

Phase II

Phase IV

Answer and Explanation

The Correct Answer is C

A. Phase I: This is the tension-building phase, where minor incidents of abuse occur, and the victim often tries to placate the abuser to avoid escalation.

B. Phase III: This is the honeymoon phase, where the abuser may apologize, show remorse, and promise that the abuse will not happen again. The victim may also experience a period of denial and hope for change.

C. Phase II: This is the acute battering incident, where the abuse reaches a peak and the victim is physically harmed. The client's statement and the injury indicate they are in this phase.

D. Phase IV: There is no recognized "Phase IV" in the cycle of abuse. The standard model includes tension-building, acute battering, and the honeymoon phases.

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Correct Answer is C

Explanation

A. Amenorrhea: This is more commonly associated with anorexia nervosa rather than bulimia nervosa.

B. Hyperkalaemia: Bulimia nervosa is more likely to cause hypokalemia due to frequent vomiting, which leads to loss of potassium.

C. Dental decay: Frequent vomiting exposes teeth to stomach acid, leading to erosion of dental enamel and subsequent decay.

D. Lower than normal expected reference range of body weight: While some individuals with bulimia nervosa may have a low body weight, many maintain a normal weight or may even be overweight.

A. Reprimand the client about the potential damage that has occurred due to overexercising her body. B. Praise the client for looking at herself in a mirror. C. Restrict the client from being weighed. D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise.

Correct Answer is D

Explanation

A. Reprimand the client about the potential damage that has occurred due to overexercising her body. Reprimanding the client is not therapeutic and can increase feelings of guilt or shame, potentially exacerbating the condition. A more supportive and understanding approach is needed to address the behavior. Therefore, this choice is incorrect.

B. Praise the client for looking at herself in a mirror. Praising the client for looking at herself in the mirror is not specifically relevant to managing the overexerting behavior and does not address the core issues of anorexia nervosa. It may also reinforce body image concerns. Therefore, this choice is incorrect.

C. Restrict the client from being weighed. Weighing restrictions are common in the treatment of anorexia nervosa to reduce anxiety around weight gain. However, this action alone does not directly address the overexercising behavior. Instead, comprehensive behavioral and therapeutic strategies should be employed. Therefore, this choice is incorrect.

D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. Encouraging the client to discuss her urges to exercise with a nurse provides an opportunity for therapeutic intervention and support. It helps in addressing the behavior in a constructive manner and provides a means for the client to seek help when struggling with their impulses. This choice is correct.

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A client comes into the Emergency Department diagnosed with a fractured right wrist and states, "I am fine, really, because it is all my fault. I knew he was in a bad mood and I got in his way." The nurse should recognize which cycle of battery is this client in?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with anorexia nervosa and overexercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?

Correct Answer is D

Explanation

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