A client diagnosed with bulimia nervosa has a nursing diagnosis of ineffective coping related to (R/T) feelings of loneliness as evidence by (AEB) bingeing then purging when alone. Which is an appropriate outcome related to this nursing diagnosis?
The client will verbalize two positive self attributes by day 3 in treatment.
The client will list five ways that the body reacts to bingeing and purging.
The client will appropriately express angry feelings about lack of control by week 2 in treatment.
The client will identify two alternative methods of dealing with loneliness by day 3 in treatment.
The Correct Answer is D
A. The client will verbalize two positive self-attributes by day 3 in treatment: Identifying positive self-attributes focuses on self-esteem building rather than directly addressing coping with feelings of loneliness. While self-esteem is important, it does not target the maladaptive behavior linked to the nursing diagnosis.
B. The client will list five ways that the body reacts to bingeing and purging: Education about physical consequences addresses knowledge and awareness but does not provide alternative coping strategies for managing loneliness or preventing maladaptive behaviors. Knowledge alone may not change behavior.
C. The client will appropriately express angry feelings about lack of control by week 2 in treatment: Expressing anger relates to managing feelings of control, which is only partially related to coping with loneliness. The outcome does not directly target the identified trigger for bingeing and purging.
D. The client will identify two alternative methods of dealing with loneliness by day 3 in treatment: This outcome directly addresses ineffective coping related to feelings of loneliness. Identifying and practicing alternative coping strategies provides actionable steps to reduce reliance on bingeing and purging when alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Side effects of Ritalin cause nausea; therefore, caloric intake is decreased: Nausea can occur as a side effect, but appetite suppression is a more common and direct cause of weight loss with methylphenidate. Nausea alone does not fully account for gradual weight changes over months.
B. Increased ability to concentrate allows the client to focus on activities rather than food: Improved concentration may lead to reduced distractions, but the primary mechanism for weight loss is pharmacological appetite suppression rather than distraction from eating.
C. Hyperactivity seen in ADHD causes increased caloric expenditure: While hyperactivity may burn additional calories, weight loss observed after starting methylphenidate is more strongly linked to decreased appetite than baseline activity levels.
D. The pharmacological action of Ritalin causes a decrease in appetite: Methylphenidate stimulates the central nervous system, which commonly reduces hunger and caloric intake. Appetite suppression is a well-documented side effect that can lead to measurable weight loss in adolescents.
Correct Answer is A
Explanation
A. Moderate stage: During the moderate stage of Alzheimer’s disease, clients typically experience noticeable decline in activities of daily living, disorientation to time and place, and increased social withdrawal. Frustration and behavioral changes become more prominent as cognitive deficits interfere with independence.
B. Severe stage: The severe stage is characterized by profound cognitive impairment, loss of communication, and total dependence for ADLs. Disorientation and frustration are present earlier, and clients may be nonverbal or bedridden in this stage.
C. Mild stage: In the mild stage, cognitive deficits are subtle, with mild memory loss and minor difficulties in complex tasks. Clients are generally able to maintain independence and social engagement, with minimal disorientation.
D. Confabulation stage: Confabulation is a coping mechanism sometimes seen in mild to moderate Alzheimer’s disease, where clients fill memory gaps with fabricated stories. It is not a distinct stage but rather a symptom that may appear intermittently.
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