A nurse is caring for a client who has a binge-eating disorder. Which of the following statements should the nurse expect from this client?

I feel so defeated and want to hide after I have binged.

I am able to control the pace of my bingeing when I start getting full.

My binges usually start off with feeling hungry.

I binge to reward myself for completing difficult tasks.

Answer and Explanation

The Correct Answer is A

The correct answer is a. I feel so defeated and want to hide after I have binged.

Choice A Reason:

Individuals with binge-eating disorder often experience intense feelings of shame, guilt, and defeat after a binge episode. This emotional response is a hallmark of the disorder and can lead to further cycles of binge eating as a way to cope with these negative emotions. The statement “I feel so defeated and want to hide after I have binged” accurately reflects the emotional turmoil that accompanies binge-eating episodes.

Choice B Reason:

The statement “I am able to control the pace of my bingeing when I start getting full” is not typically associated with binge-eating disorder. People with this disorder often feel a loss of control over their eating during a binge episode and are unable to stop even when they are full. This lack of control is a key diagnostic criterion for binge-eating disorder.

Choice C Reason:

While feeling hungry can trigger a binge, it is not the primary characteristic of binge-eating disorder. The disorder is more about the uncontrollable nature of the eating episodes and the emotional distress that follows, rather than just responding to hunger. Therefore, the statement “My binges usually start off with feeling hungry” does not fully capture the essence of the disorder.

Choice D Reason:

Binge-eating as a reward for completing difficult tasks is not a typical feature of binge-eating disorder. The disorder is more about using food as a way to cope with negative emotions rather than as a reward. The statement “I binge to reward myself for completing difficult tasks” does not align with the common emotional triggers for binge-eating episodes.

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Correct Answer is C

Explanation

Choice A Reason: We can call Alcoholics Anonymous (AA) and go to a closed meeting to see what happens inside.

Alcoholics Anonymous (AA) is a support group specifically for individuals struggling with alcohol use disorder. Closed meetings are typically reserved for those who identify as alcoholics and are seeking help for their own drinking problems. Family members and friends are generally not allowed to attend these meetings unless they are open meetings. Therefore, this choice does not reflect an effective understanding of the appropriate support resources available for family members.

Choice B Reason: We should wait until the client is ready to stop drinking before the family goes to support meetings.

Waiting until the client is ready to stop drinking before seeking support is not advisable. Family members can benefit from attending support groups like Al-Anon regardless of the client’s readiness to change. These groups provide emotional support, education, and coping strategies for dealing with the challenges of living with someone who has an alcohol use disorder. This choice suggests a misunderstanding of the importance of seeking support for oneself, independent of the client’s actions.

Choice C Reason: The family can go to Al-Anon meetings for support.

Al-Anon is a support group specifically designed for family members and friends of individuals with alcohol use disorder. These meetings provide a safe space for loved ones to share their experiences, gain support, and learn effective coping strategies. Attending Al-Anon meetings can help family members understand the nature of addiction, reduce feelings of isolation, and improve their own well-being. This choice reflects an accurate understanding of the appropriate support resources available for families.

Choice D Reason: Support groups are an option for the client, not the family.

This statement is incorrect because support groups like Al-Anon are specifically designed for family members and friends of individuals with alcohol use disorder. These groups recognize that addiction affects not only the individual but also their loved ones. By participating in support groups, family members can gain valuable insights, emotional support, and practical advice for coping with the challenges associated with a loved one’s addiction. This choice reflects a misunderstanding of the role and availability of support groups for families.

A. Puts the eye drops in a room with low lighting B. Washes their hands before placing the eye drops C. Uses the patient’s iris as a landmark for direct placement of the drop D. Puts the drop from inner to outer canthus E. Holds the upper eyelid open when placing the drop

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

Explanation

b. Washes their hands before placing the eye drops

d. Puts the drop from inner to outer canthus

Explanation of Choices

Choice A Reason: Puts the Eye Drops in a Room with Low Lighting

Administering eye drops in a room with low lighting is not a recommended practice. Proper lighting is essential to ensure accurate placement of the drops and to avoid contamination or injury. Low lighting can make it difficult to see the eye and the dropper, increasing the risk of improper administration. Therefore, this action does not indicate correct performance of the skill.

Choice B Reason: Washes Their Hands Before Placing the Eye Drops

Washing hands before administering eye drops is a crucial step to prevent infection and contamination. Clean hands reduce the risk of transferring bacteria or other pathogens to the eye, which can cause infections or other complications. This action is a fundamental part of proper eye drop administration and indicates correct performance of the skill.

Choice C Reason: Uses the Patient’s Iris as a Landmark for Direct Placement of the Drop

Using the patient’s iris as a landmark for direct placement of the drop is incorrect. The proper technique involves pulling down the lower eyelid to create a small pocket (conjunctival sac) and placing the drop into this pocket. Directly aiming for the iris can cause discomfort and increase the risk of injury or contamination. Therefore, this action does not indicate correct performance of the skill.

Choice D Reason: Puts the Drop from Inner to Outer Canthus

Placing the drop from the inner to the outer canthus (corner of the eye) is a correct technique. This method helps ensure that the drop spreads evenly across the eye surface and reduces the risk of contamination. It also helps in preventing the dropper from touching the eye or eyelid, which can introduce bacteria. This action indicates correct performance of the skill.

Choice E Reason: Holds the Upper Eyelid Open When Placing the Drop

Holding the upper eyelid open when placing the drop is not the recommended technique. The proper method involves pulling down the lower eyelid to form a pocket and placing the drop into this pocket. Holding the upper eyelid open can cause discomfort and may not allow the drop to be placed accurately. Therefore, this action does not indicate correct performance of the skill.

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A nurse is caring for a client who has a binge-eating disorder. Which of the following statements should the nurse expect from this client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is observing a family member administer eye drops to the patient as part of medication teaching. Which action(s) indicate the family member is performing the skill correctly? (SELECT ALL THAT APPLY)

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

Explanation

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