A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?

She rarely eats meals with the family; instead, she sneaks food up to her room.

She is too tired to do chores around the house, which is unusual for her.

I know she has been very anxious lately; her schoolwork has been challenging her.

She will feel a lot better when she finds out if she was accepted to her first-choice college.

Answer and Explanation

The Correct Answer is A

A: This statement suggests secretive eating behaviors, which are characteristic of bulimia. Individuals with bulimia often eat large amounts of food in secret and then engage in compensatory behaviors such as purging. The mother’s observation that her daughter sneaks food to her room aligns with this pattern.

B: While fatigue and a lack of energy can be associated with various conditions, including eating disorders, this statement is not specific enough to indicate bulimia. It could be related to many other factors such as stress, depression, or physical illness.

C: Anxiety and academic challenges are common among adolescents but do not specifically point to bulimia. While stress can contribute to eating disorders, this statement alone does not provide enough evidence to suggest bulimia.

D: This statement reflects a situational stressor related to college acceptance but does not indicate any eating disorder behaviors. It is more about the adolescent’s emotional state and future plans rather than current eating habits.

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Correct Answer is C

Explanation

A: Overcrowding can increase stress and the potential for violence among patients.

B: Inexperienced staff may not be as effective in managing violent behaviors and de-escalating situations.

C: A quiet atmosphere and private rooms help reduce stress and agitation among patients, lowering the risk of violence.

D: Strict rules can lead to frustration and rebellion among patients, potentially increasing the risk of violence. A balanced approach with clear guidelines and flexibility is more effective.

A. Administer the reversal drug naloxone. B. Use of seclusion and restraint for safety. C. Offer reassurance and emotional support. D. Prepare for intubation due to respiratory complications.

Correct Answer is C

Explanation

A: Naloxone is used to reverse opioid overdoses, not LSD intoxication.

B: Seclusion and restraint should be used only if the patient poses an immediate threat to themselves or others and other de-escalation techniques have failed.

C: Offering reassurance and emotional support is the primary approach for managing a patient under the influence of LSD. Providing a calm and supportive environment helps reduce anxiety and agitation.

D: Respiratory complications are not typically associated with LSD use. Intubation is not a standard response for LSD intoxication unless there are other complicating factors.

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A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A patient arrives at the emergency room after taking LSD. What action should the nurse plan to take?

Correct Answer is C

Explanation

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A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?

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