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 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.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: A client unable to provide for basic needs, despite having resources, may lack the capacity to make informed decisions, necessitating a proxy decision-maker.
Choice B reason: Acting in one's own interest does not necessarily indicate an inability to make informed decisions about care.
Choice C reason: A gravely disabled client may not be able to comprehend the nature of their condition or the consequences of medical decisions, thus requiring assistance.
Choice D reason: Clients with severe intellectual developmental disorders often require a legal guardian to make healthcare decisions on their behalf.
Choice E reason: Nonadherence to medication could be due to various factors, including lack of understanding of the treatment plan, indicating the need for a decision-maker.
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