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

“When I eat too much, I make myself throw up. It makes me feel better.”

“I have been calorie counting, which has helped me make healthy food choices.”

“I have finally lost 20 pounds, so I’m beginning to feel less fat.”

“I sometimes eat so much, I am uncomfortably full. It’s disgusting.”

Answer and Explanation

The Correct Answer is D

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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Correct Answer is D

Explanation

A: Documenting interventions used prior to the use of restraint is necessary to show that all other options were exhausted before resorting to restraints.

B: Documenting least-restrictive measures used prior to the use of restraint is important to demonstrate that the least restrictive options were attempted first.

C: Documenting the patient’s behavior that led to the use of restraint is crucial for justifying the use of restraints and for future care planning.

D: The names of people the patient harmed during the violent episode should be removed to protect their privacy and confidentiality.

A. The patient who is staring at staff in silence while clenching their fist B. The patient who overdosed, is under sedation and unconscious C. The patient with antisocial personality disorder who wants to leave AMA (against medical advice) D. The patient who is hallucinating and believes God is giving them “clear messages”

Correct Answer is A

Explanation

A: The patient who is staring at staff in silence while clenching their fist is exhibiting signs of potential aggression. This behavior indicates a high level of tension and possible imminent violence. The clenched fist is a physical sign of anger or frustration, and the silent staring can be intimidating and threatening to staff. This patient requires immediate attention to de-escalate the situation and prevent any violent outburst.

B: The patient who overdosed and is under sedation and unconscious is not likely to become violent in their current state. Sedation and unconsciousness significantly reduce the risk of aggressive behavior. This patient needs medical monitoring and care for their overdose, but they do not pose an immediate threat of violence.

C: The patient with antisocial personality disorder who wants to leave AMA may exhibit manipulative or non-compliant behavior, but this does not necessarily indicate an immediate risk of violence. While patients with antisocial personality disorder can be challenging to manage, their desire to leave AMA is more about non-compliance than aggression.

D: The patient who is hallucinating and believes God is giving them “clear messages” may be experiencing psychosis, which can sometimes lead to unpredictable behavior. However, hallucinations alone do not directly indicate a likelihood of violence. The content of the hallucinations and the patient’s overall behavior would need to be assessed to determine the risk of violence.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing documentation after restraints were used. What item from the documentation should be removed?

Correct Answer is D

Explanation

Which of the following patients is most likely to become violent?

Correct Answer is A

Explanation

A child reads stories that help them reflect on the situations and feelings the child is experiencing. This is what type of therapy?

The nurse is participating in an IEP (Individualized Education Plan) for an 8-year-old male child diagnosed with Attention Deficit Hyperactivity Disorder. The nurse identifies which statement by the parent indicates more education is needed?

The nurse is caring for a person displaying associative looseness. Which of the following would be the best strategy for the nurse to respond to associative looseness?

A psychiatric unit has several patients with personality disorders. Which of the following behaviors should the nurse address first?

A nurse is working with a client who routinely lies to staff, refuses to comply with unit rules, and shows no remorse for the people they have harmed with their behavior. These behaviors best describe what personality disorder?

A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?

A new nurse is preparing to assess a patient who is experiencing auditory hallucinations. Which statement by the nurse requires follow-up?

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