What is the primary issue with anorexia nervosa and bulimia?

Choice A rationale
The nurse’s response of asking the client, “How do you feel about being discharged?” is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client’s readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client’s feelings, which are key components of a therapeutic relationship.
Choice B rationale
Telling the client, “I will send you a note in a few weeks,” is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client’s needs and not the personal feelings or needs of the nurse.
Choice C rationale
Saying, “I know you will do well living out in the community,” is an assumption and does not invite the client to share their feelings or concerns. It’s important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client’s individual needs.
Choice D rationale
Asking the client, “Aren’t you excited about being discharged today?” is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It’s important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.

Choice A rationale
Flight of ideas is a symptom often seen in conditions like bipolar disorder, particularly during manic episodes. It involves a rapid shift in thoughts and ideas, often with loose or no associations between them. The statement “her car is gray, and her dog died last week” could be an example of this, as the two ideas are unrelated.
Choice B rationale
Verbigeration refers to the constant repetition of certain words or phrases. This is not demonstrated in the client’s statement.
Choice C rationale
Loose associations involve a disorganized thinking pattern where the person jumps from one topic to another that is seemingly unrelated. While the client’s statement might seem to have loose associations, it is more indicative of flight of ideas.
Choice D rationale
Circumstantiality involves excessive, unnecessary detail that delays getting to the point. The client’s statement is not an example of this, as it is brief and does not contain unnecessary details.