A nurse is collaborating with a multidisciplinary team to provide care for a patient with an eating disorder. What is a key responsibility of the nurse in this context?
Prescribing medications for the patient.
Isolating the patient from family involvement.
Sharing information and coordinating care.
Referring the patient to only a dietitian.
Exclusively participating in team meetings.
The Correct Answer is C
Choice A rationale:
Prescribing medications for the patient is not a key responsibility of the nurse in this context. While nurses may administer medications, the prescription and management of medications typically fall under the purview of medical doctors or advanced practice nurses.
Choice B rationale:
Isolating the patient from family involvement is not a key responsibility of the nurse. In fact, involving the patient's family and support system is often beneficial for the patient's recovery in the context of an eating disorder.
Choice C rationale:
Sharing information and coordinating care is a key responsibility of the nurse when collaborating with a multidisciplinary team for a patient with an eating disorder. The nurse acts as a central point of communication, ensuring that all members of the team are informed about the patient's condition, treatment plan, and progress. This helps create a comprehensive and coordinated approach to care.
Choice D rationale:
Referring the patient to only a dietitian is not sufficient in addressing the complex needs of a patient with an eating disorder. While dietitians play an important role, the nurse's responsibility involves a broader scope of care coordination and collaboration with various team members.
Choice E rationale:
Exclusively participating in team meetings is not the sole responsibility of the nurse. While team meetings are important, the nurse's role extends beyond attending meetings and includes hands-on patient care, communication, and coordination of care activities.
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Correct Answer is C
Explanation
Choice A rationale:
Gastric emptying. Gastric emptying refers to the process by which the stomach contents are emptied into the small intestine. While it can be affected by various factors, such as the type of food consumed, it's not a typical gastrointestinal symptom associated with eating disorders. Eating disorders often involve disturbances in eating behaviors, body image, and psychological aspects rather than the mechanical process of gastric emptying.
Choice B rationale:
Constipation and diarrhea. Constipation and diarrhea can be associated with various gastrointestinal conditions, but they are not the hallmark symptoms of eating disorders. In some cases, individuals with anorexia nervosa might experience constipation due to low food intake, but this is not a defining feature of eating disorders as a whole.
Choice C rationale:
Abdominal pain and bloating. Abdominal pain and bloating are common gastrointestinal symptoms in individuals with eating disorders, particularly those who engage in binge eating or consume large amounts of food in a short period. The discomfort from overeating or consuming excessive amounts of food can lead to abdominal pain and bloating. Additionally, purging behaviors, such as self-induced vomiting, can also cause irritation to the stomach lining and result in abdominal pain.
Choice D rationale:
Nausea and vomiting. Nausea and vomiting are indeed common symptoms in individuals with eating disorders, especially those with bulimia nervosa. The act of binge eating followed by purging through vomiting is a key characteristic of this disorder. However, the question is asking about gastrointestinal symptoms typically associated with eating disorders in general, and not all individuals with eating disorders engage in purging behaviors.
Correct Answer is B
Explanation
Recurrent episodes of binge eating followed by inappropriate compensatory behaviors.
Choice A rationale:
Eating large amounts of food when not feeling physically hungry is not a characteristic of bulimia nervosa. While individuals with bulimia nervosa do experience episodes of binge eating, this behavior is not dependent on physical hunger.
Choice B rationale:
Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are indeed a characteristic of bulimia nervosa. Binge eating involves consuming a large amount of food in a short period, accompanied by a sense of lack of control. The compensatory behaviors, such as vomiting, laxative use, or excessive exercise, are aimed at counteracting the perceived consequences of the binge eating, such as weight gain.
Choice C rationale:
Persistent eating of nonnutritive, nonfood substances, known as pica, is not a characteristic of bulimia nervosa. Pica is a separate eating disorder that involves the consumption of non-food items such as hair, paper, or soil.
Choice D rationale:
Recurrent purging behavior to influence weight or shape is more closely associated with the eating disorder anorexia nervosa. While purging behaviors like vomiting or using laxatives can also occur in bulimia nervosa, they are not specific to it.
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