A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

The client focuses conversations on nutritious food.

The client gains 2 pounds in 1 week.

The client demonstrates healthy coping mechanisms that decrease anxiety.

The client verbalizes an understanding of the etiology of the disorder.

Answer and Explanation

The Correct Answer is C

Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.

Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.

Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.

Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.

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Correct Answer is D

Explanation

Choice A reason: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.

Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.

Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.

Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia.

A. Breathing-related sleep disorder B. Schizophrenia C. Obsessive-compulsive disorder (OCD) D. Anxiety E. Depression

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: While sleep disorders can be associated with eating disorders, breathing-related sleep disorders are not commonly known as a direct comorbidity.

Choice B reason: Schizophrenia is a separate mental health condition and is not typically considered a comorbidity of eating disorders.

Choice C reason: OCD can be a comorbidity of eating disorders, as both involve anxiety and control issues.

Choice D reason: Anxiety is commonly comorbid with eating disorders, as anxiety can contribute to the development and maintenance of these disorders.

Choice E reason: Depression is often comorbid with eating disorders, as the psychological distress related to eating disorders can lead to depressive symptoms.

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A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

Correct Answer is D

Explanation

A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

A nurse is caring for a client who has an extremely elevated lithium level. Which of the following actions should the nurse take?

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

Which is a psychosocial explanation for the development of personality disorders?

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?