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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. This statement is correct. HIPAA protects the privacy and security of individually identifiable health information.
B. HIPAA generally requires patient authorization for the disclosure of health information to family members.
C. Personally identifiable information includes any information that can be used to identify an individual, such as a client's name, address, or social security number.
D. HIPAA is a federal law that sets national standards for the protection of health information.

A. Foot B. Left upper arm C. Left forearm D. Right forearm

Correct Answer is C

Explanation

1. 1. 1. The foot is not a typical site for obtaining a blood specimen by venipuncture.
    2. This arm is not ideal for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.
    3. The left forearm is a suitable site for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.
    4. The right forearm is not ideal for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.

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A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?

Correct Answer is C

Explanation

A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?

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immediate follow-up.)

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