A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?
The client focuses conversations on nutritious food.
The client gains 2 pounds in 1 week.
The client demonstrates healthy coping mechanisms that decrease anxiety.
The client verbalizes an understanding of the etiology of the disorder.
The Correct Answer is C
Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.
Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.
Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.
Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Attending all therapy sessions and utilizing services indicates cooperation but does not specifically reflect the identification phase, which is characterized by deeper emotional connections.
Choice B reason: Stating that issues have been resolved and no longer needing to come may suggest a conclusion to the therapeutic relationship rather than the development of the identification phase.
Choice C reason: Sharing feelings and emotions with the nurse is indicative of the identification phase, where the client starts to see the nurse as a supportive figure and begins to identify with them.
Choice D reason: Answering questions related to the plan of care shows engagement but does not necessarily indicate the identification phase's emotional connection.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: While hobbies can be therapeutic, they are not the primary focus of nursing interventions for a client with schizotypal personality disorder and hygiene issues.
Choice B reason: Establishing close relationships is beneficial but may not be the immediate focus for a client who is struggling with basic self-care.
Choice C reason: Improving functioning in the community is a key goal for clients with schizotypal personality disorder to help them integrate better into society.
Choice D reason: Developing social skills is essential for clients with schizotypal personality disorder to interact more effectively with others.
Choice E reason: Development of self-care skills is crucial, especially given the client's unkempt appearance and lack of bathing, indicating a need for better personal hygiene practices.
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