The nurse is evaluating the progress of a client with bulimia. Which behavior would indicate that the client is making positive progress?

The client spends time resting in their room after meals.

The client verbalizes knowledge of former eating patterns.

The client can identify calorie content for each meal.

The client exhibits healthy ways of coping with emotions.

Answer and Explanation

The Correct Answer is D

Choice A reason: Resting after meals may suggest the client is avoiding purging, a positive step in bulimia recovery. However, it does not address the underlying emotional triggers driving binge-purge cycles. Without developing healthier coping mechanisms, resting alone is insufficient to indicate significant progress in managing the disorder.

Choice B reason: Verbalizing knowledge of past eating patterns shows insight into bulimia nervosa but does not necessarily indicate behavioral change. Understanding patterns is a preliminary step, but without implementing healthier coping strategies, it does not demonstrate active progress in altering the binge-purge cycle or emotional regulation.

Choice C reason: Identifying calorie content reflects awareness of food intake, which may be part of nutritional education in bulimia treatment. However, this knowledge alone does not address the emotional or behavioral components of the disorder, such as binge-purge triggers, making it less indicative of positive progress.

Choice D reason: Bulimia nervosa is often driven by emotional distress, with binge-purge behaviors as maladaptive coping mechanisms. Exhibiting healthy ways to cope with emotions, such as through therapy or stress management techniques, directly addresses the root cause, reducing reliance on disordered eating and indicating significant progress in recovery.

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Correct Answer is A

Explanation

Choice A reason: Relaxation techniques, such as deep breathing or progressive muscle relaxation, modulate the autonomic nervous system, reducing sympathetic arousal. This allows the client to experience anxiety without overwhelming physiological or emotional responses, promoting better coping and emotional regulation, which is a realistic and therapeutic goal.

Choice B reason: Suppressing anxious feelings is not a realistic goal, as anxiety is a natural response. Relaxation techniques aim to manage, not eliminate, anxiety by reducing its intensity. Suppression can lead to emotional avoidance, potentially worsening underlying psychological conditions and hindering effective coping strategies.

Choice C reason: Confronting the source of anxiety directly is a goal of cognitive-behavioral therapy, not relaxation techniques. These techniques focus on physiological calming rather than addressing root causes, which requires structured therapeutic intervention, making this an inappropriate goal for relaxation training.

Choice D reason: Reporting the absence of all anxiety symptoms is unrealistic, as anxiety is a normal human emotion. Relaxation techniques aim to reduce the intensity and impact of anxiety, not eliminate it entirely, making this goal unattainable and less relevant for clients learning these methods.

A. Mild B. Panic C. Moderate D. Severe

Correct Answer is B

Explanation

Choice A reason: Mild anxiety is characterized by slight restlessness or discomfort, with intact concentration and problem-solving abilities. The client’s symptoms, including rapid pacing, trembling, and inability to concentrate, indicate a more intense physiological and cognitive impairment, ruling out mild anxiety as the correct assessment.

Choice B reason: Panic-level anxiety involves extreme physiological arousal, with symptoms like rapid pacing, trembling, high-pitched speech, and inability to concentrate or problem-solve. These reflect a severe sympathetic nervous system response, overwhelming the client’s ability to function, making panic the most accurate description of the client’s state.

Choice C reason: Moderate anxiety involves noticeable discomfort, with some difficulty concentrating but retained problem-solving ability. The client’s severe symptoms, including high-pitched speech and restricted problem-solving, exceed this level, indicating a more intense state of anxiety that aligns with panic rather than moderate anxiety.

Choice D reason: Severe anxiety includes significant distress and impaired function but typically allows some concentration and problem-solving, unlike panic. The client’s extreme symptoms, such as inability to concentrate and restricted problem-solving, suggest a higher level of distress consistent with a panic state.

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The nurse is evaluating the progress of a client with bulimia. Which behavior would indicate that the client is making positive progress?

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Naxlex Comprehensive Predictor Exams

The best goal for a client learning a relaxation technique is that the client will

Correct Answer is A

Explanation

The nurse observes a client who is rapidly pacing, wringing their hands, and trembling. Their speech is high-pitched, they are unable to concentrate, and have restricted problem-solving. The nurse identifies the client’s anxiety level as:

Correct Answer is B

Explanation

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