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 A

Explanation

A: This statement requires follow-up because pretending that hallucinations are real can reinforce the patient’s delusions and is not a therapeutic approach. It is important to acknowledge the patient’s experience without validating the hallucinations as real.

B: This statement is appropriate as it directly assesses the presence of hallucinations in a clear and straightforward manner.

C: This statement is also appropriate as it helps to understand how the patient is managing their symptoms and can guide further interventions.

D: Assessing for command hallucinations is crucial because these types of hallucinations can pose a risk to the patient or others if they involve harmful commands.

A. Place difficulty in understanding on yourself: “I’m having trouble following you.” B. Let the patient think you understand to minimize the patient’s anxiety. C. Use reality testing to help the patient clarify their statements. D. Tell the patient they are not making any sense in order to set clear expectations.

Correct Answer is A

Explanation

A: Placing the difficulty in understanding on yourself by saying, “I’m having trouble following you,” is a therapeutic communication technique. It helps to reduce the patient’s anxiety and encourages them to clarify their thoughts without feeling judged. This approach fosters a supportive environment and can help the patient organize their thoughts better.

B: Letting the patient think you understand to minimize their anxiety is not an effective strategy. It can lead to further confusion and does not help the patient improve their communication. Honesty and clarity are important in therapeutic interactions.

C: Using reality testing to help the patient clarify their statements can be useful, but it may not be the best initial approach. It requires the patient to have some level of insight and ability to engage in reality testing, which may not be possible in severe cases of associative looseness.

D: Telling the patient they are not making any sense can be perceived as judgmental and may increase the patient’s anxiety and frustration. It is not a supportive or therapeutic approach and can hinder effective communication.

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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

A new nurse is preparing to assess a patient who is experiencing auditory hallucinations. Which statement by the nurse requires follow-up?

Correct Answer is A

Explanation

The nurse is caring for a person displaying associative looseness. Which of the following would be the best strategy for the nurse to respond to associative looseness?

Correct Answer is A

Explanation

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