A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?
"Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight."
"People who have bulimia nervosa eat an average amount of food on a daily basis."
"People who have bulimia nervosa are at risk for developing diabetes mellitus."
"As long as a person is not vomiting after eating, they do not have bulimia nervosa."
The Correct Answer is A
A. Unlike anorexia nervosa, where individuals typically appear underweight, people with bulimia nervosa often maintain a body weight within the normal or even overweight range. This can make it challenging to identify based on physical appearance alone, as individuals may hide their binge-eating and purging behaviors.
B. Individuals with bulimia nervosa often engage in episodes of binge-eating, during which they consume large amounts of food in a short period and feel a loss of control over their eating. This is followed by compensatory behaviors such as self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise to prevent weight gain.
C. Bulimia nervosa does not directly increase the risk of developing diabetes mellitus. However, the binge-eating episodes characteristic of bulimia can lead to metabolic disturbances and insulin resistance over time. This can potentially increase the risk of developing type 2 diabetes in individuals who are predisposed or have other risk factors.
D. While self-induced vomiting is a common purging method in bulimia nervosa, there are other ways individuals may attempt to compensate for binge-eating episodes, such as excessive exercise, fasting, or misuse of laxatives or diuretics. The key diagnostic criteria for bulimia nervosa include recurrent episodes of binge-eating and inappropriate compensatory behaviors to prevent weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement is incorrect. Under the Health Insurance Portability and Accountability Act (HIPAA) in the United States and similar privacy laws in other countries, healthcare providers are generally prohibited from disclosing a client's health information to their employer without the client's explicit consent.
B. This statement is correct. HIPAA and other privacy laws extend confidentiality protections beyond a client's death. Healthcare providers are still obligated to protect the confidentiality of deceased individuals' health information, unless certain exceptions apply (e.g., public health reasons or legal requirements).
C. Consent from a provider is not sufficient for discussing health information with a client's family; the consent must come from the client or their legal representative.
D. While it is generally good practice to obtain consent from the client before disclosing health information to their family members, there are circumstances where healthcare providers can share information with family members without consent.
Correct Answer is A
Explanation
A. Diarrhea is a common symptom of opioid withdrawal. Opioids slow down gastrointestinal motility, so when their use is discontinued, it can lead to increased peristalsis and diarrhea. This occurs due to the rebound effect of the gastrointestinal tract.
B. Opioids typically cause pupil constriction (pinpoint pupils) when they are active in the body. During withdrawal, the opposite occurs, and pupils dilate (mydriasis). However, the question asks about withdrawal symptoms, not effects of opioid use, so this would not be expected in opioid withdrawal.
C. Bradycardia, or a slow heart rate, is not typically associated with opioid withdrawal. Instead, opioid withdrawal can cause tachycardia (rapid heart rate) due to the sympathetic nervous system activation that occurs during withdrawal.
D. Hypokinesis refers to decreased movement or activity, which is not a typical symptom of opioid withdrawal. Instead, opioid withdrawal often presents with symptoms such as restlessness, agitation, and muscle aches, which are indicative of hyperactivity rather than hypokinesis.
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