The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what?

Warms the finger before puncturing the finger to obtain a drop of blood.

Chooses a puncture site in the center of the finger pad

Washes hands with soap and water to cleanse the site to be used,

Tells the nurse that the result of 110 mg/dl indicates good control of diabetes.

Answer and Explanation

The Correct Answer is B

A. Warming the finger before puncturing it can help increase blood flow and make the process easier. This is an appropriate technique for self-monitoring of blood glucose (SMBG).
B. The center of the finger pad is not the best site for blood glucose testing. The side of the fingertip should be used instead to avoid discomfort and to prevent injury to the nerve endings found in the center of the pad.
C. Washing hands with soap and water is the proper technique for cleansing the hands before performing SMBG to reduce the risk of contamination.
D. A blood glucose level of 110 mg/dL is within the normal range for a non-diabetic person, and could indicate good control for a diabetic. This would be considered an appropriate response, especially if the reading is taken before meals.

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Correct Answer is A

Explanation

A. A hallmark characteristic of bulimia nervosa is binge eating followed by purging (through vomiting, laxative use, etc.) to prevent weight gain. The client’s statement indicates secretive behavior, which is typical for individuals with bulimia nervosa.
B. The statement "I feel a sense of power by restricting my food intake" is more indicative of anorexia nervosa, where the focus is on restricting food to maintain extreme weight loss.
C. Using laxatives only when constipated is not specific to bulimia nervosa, as this disorder often involves excessive purging (including laxative abuse) during binge episodes.
D. The feeling of "emotional high" during binge episodes is more often related to binge eating disorder than bulimia nervosa, which tends to have a focus on shame and guilt after purging.

A. Avoidant personality disorder B. Antisocial personality disorder C. Schizoid personality disorder D. Dependent personality disorder

Correct Answer is D

Explanation

A. Avoidant personality disorder is characterized by extreme shyness, fear of rejection, and social inhibition—but not necessarily dependence on others for decision-making.
B. Antisocial personality disorder involves a disregard for the rights of others, impulsivity, and lack of remorse. It is not associated with dependence or the need for reassurance.
C. Schizoid personality disorder is marked by emotional detachment and a preference for solitary activities, rather than seeking reassurance or needing help with decisions.
D. Dependent personality disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior, and difficulty making everyday decisions without reassurance from others. These features match the client’s behavior.

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The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Correct Answer is A

Explanation

A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?

Correct Answer is D

Explanation

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