A hospitalized client is told that he has terminal cancer. The client adamantly believes that the physician is wrong despite biopsy results and MRI findings. This is an example of which of the following?

Anger

Anxiety

Withdrawal

Denial

Answer and Explanation

The Correct Answer is D

D. Denial is a defense mechanism where individuals refuse to acknowledge or accept a painful or distressing reality. In this case, despite objective medical evidence (biopsy results and MRI findings), the client persists in believing that the diagnosis of terminal cancer is incorrect. This refusal to accept the reality of the situation is characteristic of denial.

A. Anger typically involves feelings of frustration, resentment, or hostility towards others or the situation. While anger can be a reaction to receiving a terminal diagnosis, it is not reflective of refusing to accept the diagnosis itself.

B. Anxiety involves feelings of worry, fear, or unease about future events or uncertainties. While anxiety can accompany a terminal diagnosis, it does not manifest as outright refusal or disbelief in the diagnosis itself.

C. Withdrawal refers to a retreat or disengagement from social interactions or activities. It can be a coping mechanism in response to stress or difficult emotions. However, withdrawal does not specifically relate to refusing to accept a diagnosis like terminal cancer.

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Correct Answer is A

Explanation

A. This response acknowledges the client's feelings of helplessness, which can validate her experience and promote further discussion about her emotions and challenges related to her eating disorder. It shows empathy and encourages the client to explore her feelings.

B. While this question is open-ended and invites the client to explore the underlying reasons for her behavior, it might inadvertently suggest that the client should have insights or control over her behavior that she may not currently possess. It could potentially make the client feel blamed or misunderstood if she cannot provide a clear answer.

C. This response is directive and judgmental, which can lead to the client feeling criticized or defensive. It does not acknowledge the complexity of the client's experience and may not be effective in building rapport or promoting trust between the nurse and client.

D This response acknowledges the client's self-awareness and validates her recognition of the problem, which can be empowering and supportive. It reinforces the positive step the client has taken in acknowledging the issue without placing blame or judgment.

A. CNS stimulant B. Anxiolytic C. Antidepressant D. CNS stimulant

Correct Answer is D

Explanation

D. Antidepressants, specifically selective serotonin reuptake inhibitors (SSRIs), are commonly used in the treatment of bulimia nervosa. SSRIs such as fluoxetine (Prozac), sertraline (Zoloft), and others are FDA- approved for the treatment of bulimia nervosa due to their effectiveness in reducing binge eating episodes and helping to control the symptoms associated with the disorder.

A. CNS stimulants are not typically used in the treatment of bulimia. They may increase anxiety and have abuse potential, which could exacerbate symptoms.

B. While some anxiolytics may be prescribed for comorbid anxiety disorders often seen with bulimia nervosa, they are not the primary treatment for bulimia itself.

A. CNS stimulants are not typically used in the treatment of bulimia. They may increase anxiety and have abuse potential, which could exacerbate symptoms.

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A hospitalized client is told that he has terminal cancer. The client adamantly believes that the physician is wrong despite biopsy results and MRI findings. This is an example of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?

Correct Answer is A

Explanation

A client has been given the diagnosis of bulimia. An appropriate medication used in the treatment of bulimia is which of the following?

Correct Answer is D

Explanation

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A hospitalized client is told that he has terminal cancer. The client adamantly believes that the physician is wrong despite biopsy results and MRI findings. This is an example of which of the following?