What physical assessment finding is noticeable in a patient who has a history of bulimia?

prominent parotid glands.

25% underweight.

peripheral edema.

lanugo.

Answer and Explanation

The Correct Answer is A

A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.

B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.

C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.

D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.

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Correct Answer is A

Explanation

A. "My family will be better off without me" is an indirect or covert suicidal statement (passive ideation) that suggests the patient believes others would be better off if they were gone. Such remarks require immediate assessment of suicide risk (ask directly about thoughts, intent, plan, access to means) and appropriate safety interventions.
B. "Life is not worth living" is an explicit expression of hopelessness and indicates suicidal ideation, but it is more overt than covert. It still warrants urgent assessment, but the question asked specifically for the covert message.
C. "I wish I were dead" is a direct statement of suicidal desire (overt) rather than a covert hint.
D. "I have a plan that will fix everything" is the most concerning because it indicates a specific plan (high lethality risk), but it is overt rather than covert.

A. The patient states, "Talking to you feels like talking to my parents." B. The patient's reactions toward the nurse seem realistic and appropriate. C. The nurse develops a trusting relationship with the patient. D. The nurse feels unusually happy when the patient's mood begins to lift.

Correct Answer is D

Explanation

A. This is transference, where the patient projects feelings about another person onto the nurse.
B. Realistic, appropriate reactions suggest progress in the therapeutic relationship, not countertransference.
C. Developing trust is a goal in the nurse–patient relationship, not a problem.
D. Countertransference occurs when the nurse unconsciously transfers their own feelings to the patient, which can interfere with objectivity. Feeling unusually happy about the patient’s improvement signals the nurse’s personal emotional involvement beyond professional boundaries.

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What physical assessment finding is noticeable in a patient who has a history of bulimia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a patient who reports a 3-week history of depression and periods of uncontrolled crying. The patient says. "My business is bankrupt and was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a covert suicidal message?

Correct Answer is A

Explanation

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

Correct Answer is D

Explanation

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