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 A
Explanation
Choice A rationale:
The main goal of treatment for eating disorders is to correct nutritional deficiencies and address medical complications. Many individuals with eating disorders suffer from severe malnutrition due to inadequate food intake, and this can lead to a range of medical issues such as electrolyte imbalances, cardiac problems, and organ dysfunction. Prioritizing the correction of these physical health issues is essential to ensure the patient's immediate well-being and prevent further deterioration.
Choice B rationale:
While restoring normal eating patterns is an important aspect of treating eating disorders, it is not the main goal. Normalizing eating habits and reestablishing a healthy relationship with food are crucial steps in the recovery process, but these efforts often come after addressing the immediate medical concerns.
Choice C rationale:
Addressing underlying psychological issues is an integral part of eating disorder treatment, but it is not the main goal as specified in the question. Psychological issues like distorted body image, low self-esteem, and anxiety play a significant role in perpetuating eating disorders. Therapeutic interventions and counseling are employed to tackle these underlying issues, but they are typically part of a comprehensive treatment plan that includes medical stabilization.
Choice D rationale:
Preventing relapse is an important long-term goal in eating disorder treatment, but it is not the primary focus when considering the immediate and acute phase of treatment. Relapse prevention strategies become more prominent as patients progress in their recovery journey and work towards maintaining their newfound health and well-being.
Correct Answer is C
Explanation
Choice A rationale:
This response oversimplifies the issue and places the blame on the patient's behavior. It may contribute to feelings of guilt and shame, hindering open communication about their struggles.
Choice B rationale:
While the intention behind this response is positive, it reinforces the patient's focus on appearance. It's important to shift the focus from external appearance to overall health and well-being.
Choice C rationale:
This response is empathetic and acknowledges the common struggle that individuals with eating disorders face. It validates the patient's feelings while also indicating that they are not alone in their experiences.
Choice D rationale:
This response dismisses the patient's concerns and implies that their feelings are insignificant. It's essential to validate and address the patient's feelings rather than deflecting their concerns.
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