A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?
"I have binged and purged for years without my family or friends knowing."
"I feel an emotional high during my binge-purge episodes."
"I only use the laxatives when I am feeling constipated."
"I feel a sense of power by restricting my food intake."
The Correct Answer is A
A. This behavior reflects the secretive and recurring nature of binge-purge cycles characteristic of bulimia nervosa. The condition often involves a pattern of eating large amounts of food (binging) followed by compensatory behaviors such as self-induced vomiting (purging) to prevent weight gain.
B. This statement is not characteristic of bulimia nervosa.
C. This statement could indicate laxative abuse, which may occur in individuals with bulimia nervosa, but it is not specific to the disorder.
D. This statement could indicate anorexia nervosa, which is characterized by restrictive eating, but it is not specific to bulimia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement does not align with the typical behavior of a person with anorexia nervosa. People with anorexia nervosa often have a distorted body image and may fear gaining weight, but they do not typically avoid eating because they do not like the taste of food.
B. This statement is consistent with the behavior of a person with anorexia nervosa. People with this disorder often have specific foods that they fear or avoid because they associate them with gaining weight or losing control over their eating.
C. This statement may be true for some people with anorexia nervosa, but it is not a defining characteristic of the disorder. People with anorexia nervosa often restrict their food intake to a much lower level than 2,000 calories per day.
D. This statement does not align with the typical behavior of a person with anorexia nervosa. People with anorexia nervosa often obsessively track their calorie intake and may keep meticulous records of what they eat.
Correct Answer is ["A","B","D"]
Explanation
A. This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B. A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C. While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D. This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.
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