A nurse is collecting data from a client who has bulimia nervosa. Which of the following client statements should the nurse expect?
"I feel preoccupied about my body shape."
"I feel energized when I binge and purge."
"I feel confident in my abilities."
"I feel in control of my life."
The Correct Answer is A
A. Clients with bulimia nervosa are typically preoccupied with body shape and weight, which drives the cycle of binge-eating and purging. This distorted body image is a hallmark of the disorder and contributes to feelings of guilt, shame, and low self-esteem. Statements expressing concern or obsession about body shape are common and expected during assessment.
B. Clients may experience temporary relief or reduction of anxiety during binge-purge episodes, but they rarely describe feeling “energized.” Instead, these behaviors are often followed by shame, guilt, and physical discomfort.
C. Bulimia nervosa is often associated with low self-esteem and self-doubt, so statements of confidence are inconsistent with the disorder’s characteristic psychological patterns.
D. Although some clients perceive bingeing and purging as a way to control weight, overall, bulimia nervosa is associated with feelings of loss of control—especially over eating behaviors. The disorder typically reflects an attempt to manage emotional distress rather than actual control over life circumstances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The staff nurse has a legal and ethical responsibilityto report suspected diversion of controlled substances immediately through the appropriate chain of command. Prompt reporting protects patient safety, ensures regulatory compliance, and allows the impaired nurse to receive proper evaluation and treatment under a nurse assistance program. Failing to report can put patients at risk, violate state nursing laws, and make the reporting nurse liable for negligence.
B. Agreeing not to report the incident even if the coworker seeks treatment does not fulfill the nurse’s legal dutyand places patients at risk. Immediate reporting is required regardless of promises or intentions to seek help.
C. Reporting to other RNs on the shift does not meet legal requirementsand could compromise confidentiality or the investigation. The correct action is to follow the formal chain of command.
D. Accepting a promise from the coworker to report themselves is not sufficient, as there is no guarantee it will happen. Delaying reporting puts patients and the nurse themselves at risk.
Correct Answer is D
Explanation
A. Analysis/diagnosisinvolves interpreting assessment data to identify actual or potential health problems and formulating nursing diagnoses. This phase occurs earlier in the nursing process, before interventions are implemented, and is focused on understanding the client’s needs rather than assessing outcomes.
B. Planningis the phase in which the nurse develops measurable goals and selects interventions to address the client’s needs. Planning occurs before implementing actions, not after interventions have already been carried out.
C. Implementationinvolves carrying out the nursing interventions identified in the planning phase, such as medication administration, education, or support group referrals. While the client has already been participating in interventions, the nurse’s discussion of effectiveness is not part of the implementation phase.
D. Evaluationis the phase in which the nurse determines the effectiveness of nursing interventions and the client’s progress toward established goals. By reviewing the client’s follow-up appointments, adherence to medication, and participation in support groups, the nurse assesses whether the interventions are producing the desired outcomes and determines if adjustments to the care plan are needed.
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