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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: The concept that cooperative people become increasingly helpless over time does not align with psychosocial theories of personality disorder development. Cooperation is generally seen as a positive trait and is not typically associated with the development of personality disorders.

Choice B reason: Self-transcendence contributing to self-consciousness and materialism is not a recognized psychosocial factor in the development of personality disorders. While self-transcendence can relate to a person's sense of connectedness with the broader universe, it is not directly linked to personality disorders.

Choice C reason: Highly self-directed individuals are often seen as having a strong sense of autonomy and control, which is not typically associated with the development of personality disorders. Uncooperativeness and intolerance are not inherent in self-direction.

Choice D reason: Failure to complete a developmental task can lead to psychosocial issues, which may contribute to the development of personality disorders. According to Erik Erikson's stages of psychosocial development, if an individual does not successfully navigate a stage, it may impact their personality and could potentially lead to disorders.

A. Honor commitments to the client and be on time for scheduled appointments. B. Initiate the interaction with superficial social conversation. C. Use humor when interacting with the client. D. Include the client when developing a plan of care. E. Use a formal businesslike approach with the client.

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Honoring commitments and punctuality are fundamental in building trust, especially with clients who may have trust issues due to paranoid personality disorder.

Choice B reason: Superficial social conversation may not be effective in fostering trust with a client who has paranoid personality disorder, as they may perceive it as insincere.

Choice C reason: Using humor can be misinterpreted and may not be appropriate when working with clients who have paranoid personality disorder, as they might suspect ulterior motives.

Choice D reason: Including the client in the development of their plan of care is crucial as it gives them a sense of control and involvement, which can foster trust.

Choice E reason: A formal businesslike approach can provide a sense of professionalism and boundaries, which can help in building trust with a client who has paranoid personality disorder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is a psychosocial explanation for the development of personality disorders?

Correct Answer is D

Explanation

The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

When engaging with clients, which techniques should the nurse avoid using to foster more therapeutic responses? Select all that apply.

Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia. Which symptoms should the nurse expect to observe? Select all that apply.

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?

A female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?

The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measures will the nurse educate the group regarding? (Select all that apply.)