When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa, what family dynamic is most likely contributing to the client's condition?

The family has a high level of criticism and perfectionism.

The family has a supportive and nurturing environment.

The family has a history of similar disorders.

The family has a lack of boundaries and control.

Answer and Explanation

The Correct Answer is A

Choice A reason: A family environment characterized by high levels of criticism and perfectionism can contribute to the development of eating disorders like Bulimia Nervosa. Such an environment may lead to feelings of inadequacy and a focus on appearance, which are risk factors for Bulimia Nervosa.

Choice B reason: A supportive and nurturing environment is generally protective against the development of eating disorders.

Choice C reason: While a family history of similar disorders can be a risk factor due to genetic predisposition, it is not a family dynamic.

Choice D reason: Lack of boundaries and control within a family can contribute to various behavioral issues, but high criticism and perfectionism are more directly related to Bulimia Nervosa.

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Correct Answer is D

Explanation

Choice A reason: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.

Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.

Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.

Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia.

A. Monitor the client's weight daily. B. Stay with the client during meals and for 1 hour afterward. C. Provide the client with small, frequent meals. D. Offer specific privileges for sustained weight gain. E. Allow the client to choose the meals she will eat.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.

Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.

Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.

Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.

Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.

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When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa, what family dynamic is most likely contributing to the client's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

Correct Answer is D

Explanation

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa with a body mass index (BMI) of 17.2. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? Select all that apply.

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

A patient presents with gastrointestinal (GI) symptoms. Which issue do these symptoms correlate with?