A nurse in an outpatient setting is caring for a client.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Potential Condition
Bulimia nervosa: The client has a BMI of 18.5, which is on the lower end of normal, indicating possible weight issues, but not the severe underweight typical of anorexia nervosa. The client describes cycles of binge eating followed by compensatory behaviors such as purging (using laxatives), which are characteristic of bulimia nervosa. The client expresses a preoccupation with food and body weight, and feelings of embarrassment about their eating habits, which align with bulimia nervosa.
Actions to Take
1. Assess binging and purging patterns: It's crucial to understand the frequency, triggers, and methods of binging and purging to tailor interventions effectively and to monitor the severity and progression of bulimia.
2. Encourage client to identify triggers for overeating: Identifying triggers for binging can help the client develop healthier coping mechanisms and reduce the occurrence of binge eating episodes.
Parameters to Monitor
1. Electrolyte levels: Frequent use of laxatives and purging behaviors can lead to electrolyte imbalances, which are potentially life-threatening and must be monitored regularly.
2. Frequency of compensatory behaviors: Tracking the frequency of purging behaviors (such as laxative use) helps assess the effectiveness of interventions and the client’s progress in reducing harmful behaviors.
Incorrect answers:
Actions to Take:
- Assess for and discourage provocative or seductive behaviour: This is more relevant to histrionic personality disorder, not bulimia nervosa.
- Weigh daily for the first week: While weighing the client can be part of the monitoring process, daily weigh-ins can increase anxiety and may not directly address the core issues of bulimia.
- Assess for consumption of right food items: While dietary intake is important, focusing solely on food items without addressing the psychological aspects may not be effective for treating bulimia.
Parameters to Monitor:
- Attention-seeking behaviours: More relevant to histrionic personality disorder than bulimia nervosa.
- Signs of infection: Not directly relevant unless there is evidence of a related health issue or a compromised immune system, which is not indicated in the provided information.
- Presence of lanugo: Lanugo is more commonly associated with anorexia nervosa due to severe malnutrition, not bulimia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Monitoring the client's food intake and ensuring a balanced diet: It’s important to monitor food intake to prevent episodes of binge eating and ensure nutritional needs are met. A balanced diet can help stabilize eating patterns and reduce the risk of physical health complications associated with binge eating disorder.
B. Allowing unrestricted access to food: This is not advisable as it may lead to uncontrolled binge eating episodes, exacerbating the disorder.
C. Encouraging the client to engage in regular physical activity: Regular physical activity can help manage weight, improve mental health, and reduce the urge to binge eat. It should be encouraged in a safe and supportive manner.
D. Ignore signs of distress or emotional triggers: Ignoring signs of distress can worsen the disorder. Emotional triggers often lead to binge eating episodes, so addressing these issues is crucial.
E. Minimizing the importance of regular therapy sessions: Therapy is essential for treating the underlying psychological issues associated with binge eating disorder. Minimizing its importance can hinder recovery.
Correct Answer is C
Explanation
A. Physical activity level: Physical activity is important for overall health and can have positive effects on mental health by reducing the risk of depression and cognitive decline. However, while it is a significant factor, it is not the most strongly associated factor with mental health in older adults compared to social isolation.
B. Financial status: Financial stability can impact access to healthcare and overall quality of life, but it is not the primary factor influencing mental health. While financial stress can contribute to mental health issues, social factors tend to have a more direct and profound impact.
C. Social isolation: Social isolation is a major risk factor for mental health problems in older adults, including depression, anxiety, and cognitive decline. Lack of social interaction can lead to feelings of loneliness and increase the risk of mental health disorders, making it the most critical factor to consider. This choice is correct.
D. Dietary habits: Good nutrition is essential for maintaining physical and mental health, and poor dietary habits can contribute to various health issues. However, social isolation has a more direct impact on mental health outcomes in older adults compared to diet alone.
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