A nurse is caring for a client who has bulimia nervosa has a new prescription for a selective serotonin reuptake inhibitor (SSRI). Which of the following medications should the nurse anticipate administering?
Valproate
Olanzapine
Naltrexone
Fluoxetine
The Correct Answer is D
A. Valproate. Valproate is an anticonvulsant medication primarily used to treat seizures and bipolar disorder, and it is not indicated for the treatment of bulimia nervosa.
B. Olanzapine. Olanzapine is an atypical antipsychotic that may be used in certain eating disorders, but it is not the first-line treatment for bulimia nervosa. SSRIs, specifically fluoxetine, are more commonly prescribed for this condition.
C. Naltrexone. Naltrexone is an opioid antagonist used primarily for alcohol dependence and opioid use disorder. It is not indicated for the treatment of bulimia nervosa.
D. Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that has been shown to be effective in reducing binge-eating and purging behaviors in individuals with bulimia nervosa. It is the medication the nurse should anticipate administering for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bullying. Bullying typically involves repeated aggressive behavior that is intended to intimidate or harm another individual, often occurring in a more social or organizational context, such as schools or workplaces. The described behavior does not align with this definition.
B. Stalking. Stalking involves unwanted and repeated surveillance or contact with an individual, which can include leaving items at their residence. The attendee's experience of seeing the same person outside their apartment and receiving items at their door indicates a pattern of behavior consistent with stalking.
C. Assault. Assault refers to the threat or act of causing physical harm to another person. In this scenario, there is no indication of a direct threat or physical attack, so this option is not applicable.
D. Abandonment. Abandonment typically refers to a caregiver or responsible party leaving a person without necessary care or support. This concept does not fit the situation described, as it does not involve the dynamics of an aggressive or threatening relationship.
Correct Answer is B
Explanation
A. Inform the client that the pain is not real. Clients with somatic symptom disorder experience genuine distress, even if their symptoms lack a medical explanation. Dismissing their pain as "not real" can damage trust and discourage them from seeking appropriate care.
B. Provide reassurance to the client. Reassurance helps reduce anxiety and reinforces that the symptoms are not life-threatening. The nurse should validate the client’s feelings while gently redirecting their focus to coping strategies and stress management techniques.
C. Encourage the client to request invasive cardiac testing. Since the client has no cardiac risk factors and all test results are normal, unnecessary invasive procedures are not warranted. Encouraging further testing could reinforce the client’s health anxieties rather than helping manage their symptoms.
D. Refer the client for flooding therapy. Flooding therapy is an exposure-based treatment used for phobias and post-traumatic stress disorder (PTSD). It is not an appropriate intervention for somatic symptom disorder, which requires cognitive-behavioral therapy (CBT) and supportive reassurance.
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