The nurse is assisting a binge eater in establishing a dietary plan of care. What instruction is most likely to cause a relapse in behavior?
Attend a self-help group.
Stick to a strict diet plan.
Be cautious of sugar-free items.
Remember recovery is a day-by-day process.
The Correct Answer is B
A. Attend a self-help group: Self-help groups offer emotional support and accountability, which are beneficial for those recovering from binge eating. They help reduce isolation and promote healthy coping strategies.
B. Stick to a strict diet plan: Rigid dieting increases the risk of relapse by creating a cycle of deprivation followed by loss of control. Binge eaters benefit more from flexible, balanced eating plans that promote sustainable habits and reduce food guilt.
C. Be cautious of sugar-free items: Some sugar-free products contain sugar alcohols that may cause digestive discomfort and trigger eating episodes. Awareness of food choices is important in managing physical and emotional reactions to food.
D. Remember recovery is a day-by-day process: Emphasizing gradual progress supports long-term change and reduces pressure. This mindset helps prevent discouragement and relapse, especially when setbacks occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Left lateral: Placing the client in the left lateral decubitus position brings the heart closer to the chest wall, especially the mitral valve. This position enhances the nurse’s ability to hear low-pitched diastolic murmurs like those associated with mitral stenosis.
B. Right lateral: This position does not improve the ability to hear mitral valve sounds. It moves the heart further from the chest wall and is not used for cardiac auscultation purposes.
C. Prone: A prone position is not used for heart assessments and may interfere with effective auscultation. It compresses the chest and limits access to key valve areas.
D. Supine: While commonly used for initial heart assessments, it may not be ideal for detecting low-frequency murmurs. Certain murmurs become more audible when the client is in a specific position, such as the left lateral for mitral stenosis.
Correct Answer is A
Explanation
A. "Life is challenging. I take it as it comes.": This statement reflects psychological hardiness — a resilience trait marked by commitment, control, and seeing stress as a challenge rather than a threat. It shows adaptive coping and a proactive mindset in facing life’s difficulties.
B. "I am making it through and just barely holding on.": This response indicates high stress and limited coping capacity. It suggests the person is overwhelmed, which is inconsistent with hardiness, which involves confidence in managing stress.
C. "I am not able to juggle all of the balls of life.": This reflects perceived helplessness and difficulty managing life's demands. It lacks the sense of control and adaptability associated with a hardy personality.
D. "What can you do, it is what it is.": While this may seem like acceptance, it reflects resignation more than resilience. A hardy individual typically views stressors as manageable and worth engaging with, not passively accepted.
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