A nurse is assessing a client with possible bulimia nervosa. Which findings would support this diagnosis? Select all that apply.
Recurrent episodes of binge eating.
Inappropriate compensatory behaviors to prevent weight gain.
Normal or slightly above normal body weight.
Sense of lack of control over eating.
Acknowledgment of the problem.
Correct Answer : A,B,C,D
The correct answer is a. Recurrent episodes of binge eating, b. Inappropriate compensatory behaviors to prevent weight gain, c. Normal or slightly above normal body weight, d. Sense of lack of control over eating.
Choice A rationale:
Recurrent episodes of binge eating are a key diagnostic criterion for bulimia nervosa. This involves consuming a large amount of food in a short period while feeling a lack of control over eating.
Choice B rationale:
Inappropriate compensatory behaviors, such as self-induced vomiting, misuse of laxatives, fasting, or excessive exercise, are used to prevent weight gain and are essential for diagnosing bulimia nervosa.
Choice C rationale:
Individuals with bulimia nervosa often maintain a normal or slightly above normal body weight, which can make the disorder less noticeable compared to anorexia nervosa.
Choice D rationale:
A sense of lack of control over eating during binge episodes is a critical feature of bulimia nervosa.
Choice E rationale:
Acknowledgment of the problem is not a diagnostic criterion for bulimia nervosa. Many individuals with bulimia may not recognize or admit they have a problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This choice is inappropriate. In anorexia nervosa, encouraging the client to eat more may not address the underlying psychological and emotional issues related to the disorder. It oversimplifies the complexity of the disorder and could further exacerbate the client's anxiety about weight gain.
Choice B rationale:
This choice is inappropriate. Telling the client to stop restricting food intake oversimplifies the challenges of anorexia nervosa. Recovery involves addressing both the physical and psychological aspects of the disorder, and such a statement may not provide the necessary support and understanding.
Choice C rationale:
This choice is accurate. This statement acknowledges the client's fear of gaining weight while also emphasizing the importance of their health. It demonstrates empathy and understanding while promoting a balanced perspective on the client's concerns.
Choice D rationale:
This choice is inappropriate. Encouraging the client to exercise more as a way to increase appetite overlooks the fact that anorexia nervosa is not solely about appetite suppression. The disorder involves complex psychological factors that cannot be addressed through simple solutions like increased exercise.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Monitoring vital signs and weight is important, but it primarily falls under the medical management of the patient's condition rather than within the scope of nursing interventions for promoting psychological well-being in a care plan for eating disorders.
Choice B rationale:
Providing positive reinforcement for eating is appropriate as patients with eating disorders often struggle with food-related anxieties. Positive reinforcement can encourage them to establish healthier eating habits and reduce fear around food.
Choice C rationale:
Teaching coping skills and stress management techniques is essential. Many patients with eating disorders use disordered eating behaviors as coping mechanisms. Providing alternative coping strategies can help them manage stress without resorting to unhealthy behaviors.
Choice D rationale:
Involving the family in the treatment process can be beneficial. Eating disorders can affect not only the individual but also the family dynamics. Educating the family about the disorder, its triggers, and how to provide support can contribute to the patient's overall recovery.
Choice E rationale:
Respecting the patient's beliefs and values is crucial in building trust and rapport. It helps create a patient-centered approach that considers their individual preferences and cultural factors when developing and implementing the care plan.
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