Which is associated with bulimia nervosa?

Very low BMI

Decreased size of parotid glands

Calluses on the hands and fingers (Russell's sign)

Fluid and electrolyte overload

Answer and Explanation

The Correct Answer is C

Russell’s sign is a physical symptom that is associated with bulimia nervosa. It refers to the presence of calluses on the knuckles or back of the hand that are caused by repeated self-induced vomiting.

Option a. Very low BMI is not typically associated with bulimia nervosa. People with bulimia nervosa may have a normal or above-normal BMI.

Option b. Decreased size of parotid glands is not associated with bulimia nervosa. In fact, people with bulimia nervosa may have an enlarged parotid gland due to repeated vomiting.

Option d. Fluid and electrolyte overload is not typically associated with bulimia nervosa. People with bulimia nervosa may experience ﬂuid and electrolyte imbalances due to repeated vomiting and laxative abuse.

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Correct Answer is D

Explanation

Refeeding syndrome is a potentially life-threatening condition that can occur when a person with anorexia nervosa begins to eat again after a period of starvation. It is important for the nurse to closely monitor the patient for signs of refeeding syndrome, such as electrolyte imbalances and ﬂuid overload, as the patient begins to gain weight.

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

Correct Answer is B

Explanation

This statement by the patient suggests that they may be projecting their feelings, thoughts, and attitudes toward their parents and uncle onto the therapist. This projection is a common phenomenon in therapy and is known as transference. Transference occurs when a patient transfers emotions, desires, and expectations from one person to another, usually the therapist. It can be positive or negative and can aﬀect the therapeutic relationship.

Therefore, the statement "Talking to you feels like talking to my parents and uncle" is a clear indication of transference and should be carefully considered by the therapist in the ongoing therapy sessions. The therapist should explore the patient's feelings and experiences with their parents and uncle to better understand the nature of the transference and how it may be aﬀecting the therapeutic process.

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Which is associated with bulimia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy? Select one:

Correct Answer is D

Explanation

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

Correct Answer is B

Explanation

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

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A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

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