What is the main issue for adolescents with anorexia?

Appropriate behavior

Control

Anxiety

Body image

Answer and Explanation

The Correct Answer is D

D. Body image disturbance is a fundamental issue in anorexia nervosa. Adolescents with anorexia often have a distorted perception of their body size and shape, seeing themselves as overweight even when significantly underweight. This distorted body image drives their obsessive behaviors around food restriction and excessive exercise in an attempt to achieve an unrealistic and unhealthy body image.

A. While adolescents with anorexia may exhibit behaviors related to food restriction, excessive exercise, or other rituals, the core issue goes beyond simply adhering to appropriate behavior. Anorexia nervosa is driven by deep-seated fears, anxieties, and perceptions related to body image and weight.

B. Control is a central issue in anorexia nervosa. Adolescents often use strict control over food intake and exercise as a way to manage overwhelming feelings of anxiety, fear, and uncertainty. By controlling their food intake and weight, individuals with anorexia may seek to regain a sense of mastery and control over their lives amidst other stressors.

C. Anxiety is a common comorbidity in individuals with anorexia nervosa, but it is not the primary issue. Anxiety often stems from fears related to weight gain, body image dissatisfaction, and the perceived loss of control. Anxiety exacerbates the obsessive thoughts and behaviors around food and weight seen in anorexia nervosa.

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Correct Answer is A

Explanation

A. This response acknowledges the client's feelings of helplessness, which can validate her experience and promote further discussion about her emotions and challenges related to her eating disorder. It shows empathy and encourages the client to explore her feelings.

B. While this question is open-ended and invites the client to explore the underlying reasons for her behavior, it might inadvertently suggest that the client should have insights or control over her behavior that she may not currently possess. It could potentially make the client feel blamed or misunderstood if she cannot provide a clear answer.

C. This response is directive and judgmental, which can lead to the client feeling criticized or defensive. It does not acknowledge the complexity of the client's experience and may not be effective in building rapport or promoting trust between the nurse and client.

D This response acknowledges the client's self-awareness and validates her recognition of the problem, which can be empowering and supportive. It reinforces the positive step the client has taken in acknowledging the issue without placing blame or judgment.

A. Anxiety<br> B. Shock C. Withdrawal D. Anger

Correct Answer is A

Explanation

A. Anxiety is characterized by feelings of worry, fear, and apprehension about future events or uncertain outcomes. In this situation, the client's concerns about her husband's chronic illness diagnosis, his treatment, and financial implications (due to his inability to work) indicate that she is experiencing anxiety. These worries are typical responses to stressful life events and uncertainties.

B. Shock is a sudden and intense emotional reaction typically experienced immediately after a traumatic or unexpected event. While the client may initially experience shock upon hearing her husband's diagnosis, ongoing worry about treatment and financial concerns suggests a more prolonged state of anxiety rather than acute shock.

C. Withdrawal refers to a disengagement or retreat from social interactions or activities. There is no indication in the scenario that the client is withdrawing from social interactions. Rather, she is actively expressing concerns and seeking support, which is inconsistent with withdrawal.

D. Anger involves feelings of hostility, frustration, or resentment towards others or situations. While anger could potentially arise in response to the stressors described, the primary emotion expressed by the client in this scenario is worry and concern, which aligns more closely with anxiety than anger.

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What is the main issue for adolescents with anorexia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

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