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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Monitoring the client's food intake and ensuring a balanced diet: It’s important to monitor food intake to prevent episodes of binge eating and ensure nutritional needs are met. A balanced diet can help stabilize eating patterns and reduce the risk of physical health complications associated with binge eating disorder.
B. Allowing unrestricted access to food: This is not advisable as it may lead to uncontrolled binge eating episodes, exacerbating the disorder.
C. Encouraging the client to engage in regular physical activity: Regular physical activity can help manage weight, improve mental health, and reduce the urge to binge eat. It should be encouraged in a safe and supportive manner.
D. Ignore signs of distress or emotional triggers: Ignoring signs of distress can worsen the disorder. Emotional triggers often lead to binge eating episodes, so addressing these issues is crucial.
E. Minimizing the importance of regular therapy sessions: Therapy is essential for treating the underlying psychological issues associated with binge eating disorder. Minimizing its importance can hinder recovery.
Correct Answer is ["B","C","E"]
Explanation
A. Increased metabolic rate: Anorexia typically results in a decreased metabolic rate due to malnutrition and a significant reduction in energy intake.
B. Decreased heart rate and blood pressure: Malnutrition and dehydration associated with anorexia can lead to bradycardia and hypotension.
C. Fear of weight gain: A hallmark of anorexia nervosa is an intense fear of gaining weight and a persistent behavior to avoid weight gain.
D. Excessive thirst and frequent urination: These symptoms are not typically associated with anorexia and are more characteristic of conditions such as diabetes.
E. Excessive weight loss: Significant weight loss is a primary feature of anorexia nervosa, often leading to severe underweight status and associated health complications.
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