A new nurse is working in an adolescent residential program for children with impulse control disorders. Which action would require the charge nurse to immediately follow up with the new nurse? When the new nurse…

Encourages clients to participate in various activities on the unit

Allows the client to skip mandatory programming as a reward for good behavior

Ignores a client’s attention-seeking behavior of screaming in their bedroom

Removes a client from group after they become disruptive, per unit policy

Answer and Explanation

The Correct Answer is B

A: Encouraging clients to participate in various activities is a positive approach that helps engage them in the program and develop new skills.

B: Allowing the client to skip mandatory programming as a reward for good behavior is inappropriate because it undermines the structure and consistency of the program. Mandatory programming is essential for therapeutic progress and should not be used as a reward or punishment.

C: Ignoring attention-seeking behavior, such as screaming, can be an appropriate strategy to avoid reinforcing negative behaviors, provided it is done within the context of a behavior management plan.

D: Removing a client from group after they become disruptive, per unit policy, is an appropriate action to maintain the therapeutic environment and ensure the safety and well-being of all clients.

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Correct Answer is ["A","B","D"]

Explanation

A: Anxiety and agitation are common symptoms of delirium. Patients may become restless and anxious due to confusion and disorientation.

B: Disorganized thinking is a hallmark of delirium. Patients may have trouble maintaining a coherent line of thought and may exhibit incoherent speech.

C: Pain with bowel and bladder function is not a typical symptom of delirium. While discomfort can exacerbate delirium, it is not a defining characteristic.

D: Disorientation, particularly to time and place, is a key symptom of delirium. Patients often cannot accurately perceive their environment or understand their situation.

E: Overly friendly behaviors are not typically associated with delirium. Delirium usually involves confusion, agitation, and sometimes aggression rather than increased sociability.

A. “When I eat too much, I make myself throw up. It makes me feel better.” B. “I have been calorie counting, which has helped me make healthy food choices.” C. “I have finally lost 20 pounds, so I’m beginning to feel less fat.” D. “I sometimes eat so much, I am uncomfortably full. It’s disgusting.”

Correct Answer is D

Explanation

Choice A:
This statement describes a behavior more closely associated with bulimia nervosa, where individuals engage in compensatory behaviors such as vomiting to prevent weight gain after overeating. Binge eating disorder (BED) does not involve regular purging behaviors.
Choice B:
This statement indicates a focus on healthy eating and calorie counting, which is not characteristic of binge eating disorder. BED involves episodes of eating large quantities of food with a sense of loss of control, not controlled eating habits.
Choice C:
This statement reflects weight loss and improved body image, which does not align with the symptoms of binge eating disorder. BED is characterized by recurrent episodes of eating large amounts of food and feeling a lack of control over eating.
Choice D:
This statement aligns with the diagnostic criteria for binge eating disorder. Individuals with BED often eat large amounts of food and feel uncomfortably full, accompanied by feelings of disgust or guilt. This behavior is a key indicator of BED, as it involves eating beyond the point of fullness and experiencing negative emotions afterward.

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A new nurse is working in an adolescent residential program for children with impulse control disorders. Which action would require the charge nurse to immediately follow up with the new nurse? When the new nurse…

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient diagnosed with delirium. The nurse would note these symptoms as consistent with delirium: Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

A nurse is assessing the patient’s dietary habits. Which statement by the patient most closely aligns with binge eating?

Correct Answer is D

Explanation

A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

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A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?

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