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?.

"The PSDA becomes applicable when a client reaches 65 years of age.”.

"Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight.”.

"As long as a person is not vomiting after eating, they do not have bulimia nervosa.”.

"People who have bulimia nervosa are at risk for developing diabetes mellitus.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

This statement is incorrect. People with bulimia nervosa often consume large amounts of food in a short period of time, known as binge eating.

Choice B rationale:

This statement is correct. Despite the binge-purge cycle, individuals with bulimia nervosa can maintain an average or ideal body weight, making the disorder less noticeable.

Choice C rationale:

This statement is incorrect. While self-induced vomiting is a common method of purging in bulimia nervosa, other methods such as excessive exercise, fasting, or misuse of laxatives, diuretics, or enemas can also be used.

Choice D rationale:

This statement is incorrect. While bulimia nervosa can lead to various health complications, it is not directly associated with the development of diabetes mellitus.

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Correct Answer is B

Explanation

Choice A rationale:

Using restraints can lead to injury and is generally a last resort.

Choice B rationale:

Placing a lock at the top of doors can prevent the client from wandering outside and getting lost or injured.

Choice C rationale:

Encouraging napping during the day can actually disrupt the client’s sleep cycle and increase nighttime wakefulness.

Choice D rationale:

While medication can be helpful, non-pharmacological interventions should be tried first.

A. Encouraging the client to attend a daily exercise program on the unit. B. Maintaining the client's confidentiality about a substance use disorder. C. Reinforcing information on the potential adverse effects of a medication with the client. D. Respecting the client's right to refuse to attend a group therapy session.

Correct Answer is C

Explanation

Choice A rationale:

Encouraging the client to attend a daily exercise program on the unit is beneficial for the client’s health, but it does not demonstrate the ethical principle of veracity, which involves truthfulness and honesty.

Choice B rationale:

Maintaining the client’s confidentiality about a substance use disorder is an important aspect of nursing care, but it demonstrates the ethical principle of confidentiality, not veracity.

Choice C rationale:

Reinforcing information on the potential adverse effects of a medication with the client is an example of veracity. The nurse is being truthful and transparent about the potential risks associated with the medication.

Choice D rationale:

Respecting the client’s right to refuse to attend a group therapy session demonstrates the ethical principle of autonomy, not veracity.

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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?.

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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?.