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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Have the client placed in restraints: Restraints should only be used as a last resort when the client poses a danger to themselves or others. They require a provider’s order and must follow strict guidelines. It is not the first step in managing a combative client.
B. Refuse to start the IV: Refusing care delays necessary treatment and does not address the issue of safety. The nurse has a duty to provide care using appropriate support and safety measures.
C. Give the client a sedative prior to starting the IV: Administering a sedative requires a provider's order and should not be done solely for ease of IV insertion. Sedation is not a routine intervention and must be clinically justified.
D. Ask for assistance: Having another trained staff member present increases safety and reduces the risk of needlestick injury. Assistance ensures proper restraint of movement without violating patient rights or safety protocols.

A. Allows the nurse to express their feelings B. Allows for the nurse to facilitate the grieving process C. Allows for the nurse to take the client through in the appropriate order D. Allows for the nurse to understand when the grieving process should be concluded

Correct Answer is B

Explanation

A. Allows the nurse to express their feelings: While nurses may also experience emotional responses, the primary focus in client care is on supporting the client’s grief. Personal expression should not take precedence in the therapeutic relationship.
B. Allows for the nurse to facilitate the grieving process: Understanding the stages and individual nature of grief enables the nurse to provide empathetic, nonjudgmental support. This helps the client process emotions in a healthy way and move through grief at their own pace.
C. Allows for the nurse to take the client through in the appropriate order: Grief is not a linear process. Clients may move back and forth between stages or skip some entirely. The nurse's role is to support, not control or direct the sequence of emotions.
D. Allows for the nurse to understand when the grieving process should be concluded: Grief does not follow a fixed timeline. Expecting it to end by a specific point is unrealistic and may create pressure or invalidate the client’s experience. Compassionate care requires flexibility and patience.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to start an IV for a client who is combative. What precautionary measure should the nurse take in order to avoid a needlestick?

Correct Answer is D

Explanation

All nurses care for clients who are grieving. It is important for the nurse to understand the grieving process for which reason?

Correct Answer is B

Explanation

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