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 B

Explanation

Choice A reason: Weight gain is not a common side effect of buspirone, which affects serotonin and dopamine receptors to reduce anxiety. It is more associated with antidepressants like SSRIs or mirtazapine, which alter metabolism or appetite, making this incorrect.

Choice B reason: Buspirone commonly causes dizziness due to its effects on serotonin and dopamine pathways, which can alter blood pressure or central nervous system function. This side effect is significant, as it impacts safety and requires client awareness, making it a key teaching point.

Choice C reason: Dry skin is not a recognized side effect of buspirone. This medication primarily affects neurological and gastrointestinal systems, not dermatological conditions, making this an irrelevant and incorrect side effect to include in client education.

Choice D reason: Increased appetite is not typically associated with buspirone. While some psychotropic medications affect appetite, buspirone’s primary side effects include dizziness and nausea, not appetite changes, making this an incorrect focus for client education.

A. The atria and ventricles are beating independently B. The atrial rate is 350 bpm or greater and the ventricular rate is slower C. The SA node is firing regularly but not all beats are conducted D. The electrical impulse through the AV node is delayed but not blocked

Correct Answer is C

Explanation

Choice A reason: Independent atrial and ventricular beating occurs in conditions like third-degree heart block, where AV node conduction fails completely. The description lacks specific rhythm details, but the SA node firing with non-conducted beats suggests a partial conduction issue, not complete dissociation.

Choice B reason: An atrial rate of 350 bpm or greater with a slower ventricular rate suggests atrial flutter or fibrillation. However, the description of regular SA node firing with non-conducted beats points to a conduction block, not a rapid atrial rhythm, making this less likely.

Choice C reason: The SA node firing regularly with non-conducted beats describes a second-degree AV block, where some atrial impulses fail to reach the ventricles due to AV node or bundle branch issues. This matches the symptoms and is the most accurate interpretation of the rhythm.

Choice D reason: A delayed but not blocked AV node impulse describes first-degree heart block, where all beats conduct with a prolonged PR interval. The description of non-conducted beats indicates a more severe conduction issue, such as second-degree block, making this choice incorrect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with generalized anxiety disorder is prescribed buspirone. Which side effect should the nurse include in the client’s education?

Correct Answer is B

Explanation

What is the significance about the cardiac rhythm shown below?

Correct Answer is C

Explanation

The nurse is addressing exercise and physical activity during discharge education with a client diagnosed with heart failure. What should the nurse teach this client about exercise?

Which of the four classes of medications used for Generalized Anxiety Disorder (GAD) is considered the safest because of low incidence of side effects and lack of physiological dependence?

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

A client with a long history of bulimia nervosa is seen in the emergency department. The client is seeing things that others do not see, is restless, and has dry mucous membranes. Which is most likely the cause of this client's symptoms?

A nurse is assessing a client diagnosed with dysthymic disorder (persistent depressive disorder). Which of the following is a characteristic feature of dysthymic disorder?

A client who is manic threatens others on the unit. Which would be the initial nursing action in response to this behavior?

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?