A nursing instructor is teaching students about the differences between the symptoms of Anorexia Nervosa and the symptoms of Bulimia Nervosa. Which student statement indicates that learning has occurred?
"Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with anorexia nervosa do not."
"Clients diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not."
"Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with anorexia nervosa do not."
"Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not."
The Correct Answer is D
A. "Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with anorexia nervosa do not.": Hypotension and lanugo are more characteristic of anorexia nervosa due to severe malnutrition. Edema may appear in both conditions depending on fluid shifts.
B. "Clients diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not.": Tooth enamel erosion is primarily associated with bulimia nervosa due to repeated vomiting. Anorexia nervosa may cause malnutrition-related oral changes but not the classic enamel erosion from purging.
C. "Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with anorexia nervosa do not.": Amenorrhea is more commonly observed in anorexia nervosa because of severe weight loss and hormonal disruption. Bulimia may or may not cause menstrual irregularities depending on nutritional status.
D. "Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not.": Severe nutritional deficits are hallmark features of anorexia nervosa due to prolonged restriction. Bulimia nervosa involves bingeing and purging, which maintains near-normal weight and reduce severity of nutrient depletion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Institute seclusion following agency protocol: Seclusion is a restrictive intervention used only when a child poses an immediate risk to self or others. It does not promote development of coping skills or self-regulation and may escalate emotional dysregulation if used prematurely.
B. Allow the child to stay in group therapy to monitor the situation further: Remaining in the group may expose the child and peers to continued conflict, reinforcing inappropriate behaviors. It may also heighten agitation and interfere with therapeutic goals.
C. Accompany the child to a quiet area to decrease external stimuli: Removing the child from a stimulating environment helps reduce agitation and provides an opportunity to regain self-control. It encourages de-escalation, allows for reflection, and supports development of coping strategies in a safe and controlled setting.
D. Administer PRN medication to decrease inappropriate behaviors: Medication is typically reserved for severe agitation or aggression that cannot be managed through behavioral interventions. Immediate pharmacologic intervention is not first-line for non-threatening verbal outbursts.
Correct Answer is C
Explanation
A. Fluoxetine (Prozac): Fluoxetine is a selective serotonin reuptake inhibitor used for depression and bulimia nervosa, but it is not FDA-approved for binge eating disorder. It may be used off-label for comorbid mood symptoms.
B. Methylphenidate (Ritalin): Methylphenidate is indicated for attention-deficit/hyperactivity disorder. It is not approved for the treatment of binge eating disorder and does not target compulsive eating behaviors.
C. Lisdexamfetamine (Vyvanse): Lisdexamfetamine is FDA-approved for moderate to severe binge eating disorder in adults. It reduces binge frequency by modulating dopamine and norepinephrine pathways that influence impulse control and reward mechanisms.
D. Olanzapine (Zyprexa): Olanzapine is an atypical antipsychotic used for schizophrenia or bipolar disorder. It is not approved for binge eating disorder and may cause weight gain, which could worsen binge-related concerns.
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