A nurse is caring for a 20-year-old college student with a 2-year history of bulimia nervosa. The student tells the nurse, “I know my eating binges and vomiting are not normal, but I can’t do anything about them.”. What would be a therapeutic response from the nurse?
“You should stop because you need to. You are destroying your health.”.
“Do you have any idea why you do this?”
“I’m proud of you for recognizing that this behavior is not normal.”.
“It seems like you are feeling helpless about this behavior.”.
“It seems like you are feeling helpless about this behavior.”.
The Correct Answer is D
Choice A rationale
While it’s true that bulimia nervosa can have serious health consequences, telling the patient that they “should stop because they need to” may come across as dismissive of the patient’s struggle. It’s important to remember that bulimia nervosa is a complex mental health disorder that often requires professional treatment.
Choice B rationale
Asking the patient why they engage in their behavior might seem like a logical question, but it could potentially make the patient feel defensive or blamed for their condition. It’s important to approach the conversation with empathy and understanding.
Choice C rationale
While it’s important to validate the patient’s feelings and experiences, saying “I’m proud of you for recognizing that this behavior is not normal” might not be the most therapeutic response. This statement could potentially reinforce the idea that their behavior is “abnormal,” which could lead to feelings of shame or guilt.
Choice D rationale
Expressing empathy and understanding, as in “It seems like you are feeling helpless about this behavior,” can be a therapeutic response. This statement acknowledges the patient’s feelings and opens up the conversation for further exploration of their experiences and potential coping strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypothermia is not a typical finding in a client who has had diarrhea for several days. Diarrhea does not typically affect the body’s ability to regulate temperature.
Choice B rationale
Dehydration is a common finding in a client who has had diarrhea for several days. Diarrhea can lead to significant fluid and electrolyte loss, causing dehydration.
Choice C rationale
Decreased bowel sounds are not typically associated with diarrhea. In fact, hyperactive bowel sounds are more common due to increased intestinal motility.
Choice D rationale
A rigid abdomen is not a typical finding in a client who has had diarrhea for several days. A rigid abdomen may indicate a serious condition such as peritonitis or bowel obstruction, which are not typically associated with diarrhea.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
An increased blood osmolarity, such as 260 mOsm/kg, can be a sign of dehydration. When the body is dehydrated, the concentration of solutes in the blood can increase, leading to higher osmolarity.
Choice B rationale
Hypotension, or low blood pressure, is not typically a sign of dehydration. In fact, dehydration can often cause blood pressure to increase due to the body’s efforts to compensate for the lack of fluid.
Choice C rationale
A high urine specific gravity, such as 1.035, can indicate dehydration. This measurement reflects the concentration of solutes in the urine, and a high value can mean that the body is conserving water due to dehydration.
Choice D rationale
An elevated blood sodium level, such as 150 mEq/L, can be a sign of dehydration. When the body is dehydrated, the concentration of sodium in the blood can increase.
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