A nurse is caring for a client with bulimia. The nurse recognizes which of the following would be a therapeutic intervention?

Arranging for individual therapy sessions

Encouraging the client to keep a food diary

Administering a medication to suppress the client's appetite

Scheduling daily weigh-ins for the client

Answer and Explanation

The Correct Answer is B

A. Arranging for individual therapy sessions: While individual therapy can be beneficial for clients with bulimia, it is not the sole intervention and typically part of a broader treatment plan. Therapy should focus on cognitive-behavioral strategies to address eating behaviors and underlying emotional issues.

B. Encouraging the client to keep a food diary: Keeping a food diary is a common therapeutic intervention for bulimia. It helps clients become more aware of their eating patterns and triggers for binge eating and purging behaviors. It also assists in identifying emotional and situational triggers that can be addressed in therapy.

C. Administering a medication to suppress the client's appetite: Appetite suppressants are not typically used in the treatment of bulimia. The focus is on addressing the underlying psychological issues and behaviors rather than suppressing appetite, as bulimia involves cycles of binge eating followed by compensatory behaviors like vomiting or laxative use.

D. Scheduling daily weigh-ins for the client: Daily weigh-ins can contribute to increased anxiety and obsession with weight, which may exacerbate bulimic behaviors. Therapeutic interventions for bulimia should focus on normalizing eating patterns and addressing the psychological aspects of the disorder rather than focusing on weight.

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Correct Answer is A

Explanation

A. Echolalia: Echolalia, the repetition of words or phrases spoken by others, is a common characteristic of autism spectrum disorder. It can be part of the individual’s attempt to communicate or self-stimulate and may be indicative of difficulties in expressive language development.

B. Ambivalence: Ambivalence, the state of having mixed feelings or contradictory ideas about something or someone, is more commonly associated with conditions like schizophrenia, not ASD.

C. Expressive affect: Individuals with ASD often have difficulties with expressive affect, meaning they may show limited emotional expression, which contrasts with the term "expressive affect" suggesting full emotional expression.

D. Associative looseness: Associative looseness, a symptom where a person’s thoughts are disconnected and fragmented, is more characteristic of schizophrenia than ASD.

A. Implementing stress management workshops for employees in a workplace. B. Promoting mental health awareness and education in the community. C. Providing counseling and therapy to individuals with diagnosed mental health disorders. D. Conducting mental health screenings in schools to identify students at risk for mental health issues.

Correct Answer is C

Explanation

A. Implementing stress management workshops for employees in a workplace. This is a form of primary prevention, as it aims to prevent the development of mental health issues by reducing stress and promoting well-being among employees before problems arise . Therefore, this choice is incorrect.

B. Promoting mental health awareness and education in the community. This is another form of primary prevention. It aims to increase knowledge and awareness to prevent the onset of mental health issues by educating the public on how to maintain mental wellness and identify early signs of mental health problems . Therefore, this choice is incorrect.

C. Providing counseling and therapy to individuals with diagnosed mental health disorders. This is an example of tertiary prevention. It involves managing and treating existing mental health disorders to prevent further deterioration and to help individuals achieve the highest possible level of functioning and quality of life . This choice is correct.

D. Conducting mental health screenings in schools to identify students at risk for mental health issues. This represents secondary prevention, as it focuses on early identification and intervention for individuals at risk of developing mental health issues, aiming to prevent the progression of the disorder. Therefore, this choice is incorrect.

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A nurse is caring for a client with bulimia. The nurse recognizes which of the following would be a therapeutic intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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