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 ["B","D","E"]

Explanation

Choice A reason: Sharing personal feelings openly with the client can blur the professional boundaries necessary for a therapeutic relationship and is not typically encouraged.

Choice B reason: Establishing boundaries is crucial in maintaining a professional and therapeutic relationship, ensuring that both the nurse and client understand the limits and expectations of their interactions.

Choice C reason: While offering advice can be part of the therapeutic process, it is more important for the nurse to guide clients in finding their own solutions rather than providing direct advice.

Choice D reason: A therapeutic relationship should be professional and not based on personal feelings. The nurse's concern should be on the client's well-being rather than being liked.

Choice E reason: Maintaining a client focus at all times ensures that the care provided is centered on the client's needs, which is essential in a therapeutic relationship.

A. Decreased display of emotions. B. Personality traits that are opposite of original traits. C. Decreased auditory and visual acuity. D. Forgetfulness gradually progressing to disorientation.

Correct Answer is D

Explanation

Choice A reason: A decreased display of emotions, or blunted affect, is common in dementia as the illness affects the brain areas responsible for emotion regulation.

Choice B reason: While personality changes can occur, they do not typically present as complete opposites of original traits.

Choice C reason: Decreased auditory and visual acuity can be part of the cognitive decline associated with dementia.

Choice D reason: Forgetfulness that progresses to disorientation is a hallmark of dementia, reflecting the deterioration of cognitive functions over time.

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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

The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

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

Explanation

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Correct Answer is D

Explanation

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