The client has just been diagnosed with binge eating disorder. Which statement by the client is most indicative of this diagnosis?

"I have gained a lot of weight."

"I eat even when I am not hungry."

"I eat slowly but consistently throughout the day."

"I always feel guilty after I overeat."

Answer and Explanation

The Correct Answer is B

A. "I have gained a lot of weight.": Weight gain can occur with binge eating disorder but is not diagnostic by itself. Many factors can contribute to weight gain, and it doesn’t confirm disordered eating patterns.
B. "I eat even when I am not hungry.": Binge eating disorder is characterized by recurrent episodes of consuming large amounts of food, often without physical hunger. This behavior reflects loss of control over eating and is a key diagnostic feature.
C. "I eat slowly but consistently throughout the day.": This pattern suggests grazing, not binge eating. Binge episodes typically involve eating rapidly, in secret, and until uncomfortably full, which is not described here.
D. "I always feel guilty after I overeat.": Feelings of guilt may accompany binge eating, but emotional response alone is not diagnostic. The behavioral pattern of eating large amounts when not hungry is more definitive of the disorder.

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Correct Answer is D

Explanation

A. Suggest a consultation with a psychiatrist to treat the client's addiction: Tolerance is a physiological response to long-term opioid use, not necessarily a sign of addiction. Labeling the client as addicted without behavioral signs of misuse is inappropriate and stigmatizing.
B. Inform the client that they will not be able to receive more medication than the health care provider has prescribed: This response dismisses the client's need for adequate pain control. Tolerance may require dose adjustment, and concerns should be communicated compassionately to the prescriber.
C. Tell the client the nurse will ask the health care provider to prescribe a non-narcotic analgesic:
Switching to a non-narcotic medication may not provide effective relief for someone with a chronic condition and established tolerance. Medication adjustments should be based on the client’s needs and pain response.
D. Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration: Tolerance may require a dose increase to maintain pain relief. The nurse’s role includes advocating for appropriate pain management and collaborating with the provider for safe and effective adjustments.

A. Natural killer cells B. Cytokines C. Interleukins D. Interferons

Correct Answer is A

Explanation

A. Natural killer cells: Natural killer (NK) cells are a type of lymphocyte that patrol the body, identifying and destroying virus-infected and cancerous cells. They act rapidly without prior sensitization and play a key role in the innate immune response.
B. Cytokines: Cytokines are signaling proteins that help regulate immunity, inflammation, and hematopoiesis. They do not directly destroy infected or cancerous cells but mediate communication between immune cells.
C. Interleukins: Interleukins are a subset of cytokines that facilitate interactions between white blood cells. They support immune cell activation and proliferation but do not perform surveillance or direct cytotoxic actions.
D. Interferons: Interferons are proteins released by cells in response to viral infection. They enhance the immune response and inhibit viral replication but do not directly destroy infected or malignant cells like NK cells do.

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The client has just been diagnosed with binge eating disorder. Which statement by the client is most indicative of this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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