A nurse is assessing a newly admitted client who has bulimia nervosa. Which of the following client statements should the nurse expect?

"I feel preoccupied about my body shape."

"I feel in control of my life."

"I feel energized when I binge and purge."

"I feel confident in my abilities."

Answer and Explanation

The Correct Answer is A

A. Clients with bulimia nervosa often feel preoccupied with their body shape and weight, leading to behaviors like binge eating followed by purging.

B. Clients with bulimia nervosa often feel out of control, especially during binge episodes.

C. While some clients may temporarily feel relief after purging, it is typically followed by feelings of guilt and shame, not energy.

D. Clients with bulimia nervosa often struggle with low self-esteem and do not feel confident in their abilities.

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Correct Answer is C

Explanation

A. Dialectical behavior therapy (DBT) is specifically designed to help individuals with borderline personality disorder manage self-harm urges and is generally a protective factor.

B. Significant life changes like getting married can be stressful but do not inherently present the highest risk for self-harm in comparison to other factors.

C. Discharge from the hospital often represents a high-risk period for self-harm due to the sudden transition from a structured and supportive environment to less supervision and support.

D. Narrative therapy, like DBT, is a therapeutic approach that can help manage self-harm behaviors, and attending therapy is generally protective rather than a risk factor.

A. Antisocial personality disorder B. Histrionic personality disorder C. Schizotypal personality disorder D. Narcissistic personality disorder

Correct Answer is A

Explanation

A. Antisocial personality disorder is characterized by a disregard for rules and the rights of others, often leading to manipulative and defiant behavior.

B. Histrionic personality disorder involves excessive emotionality and attention-seeking behavior but does not typically include a refusal to follow rules.

C. Schizotypal personality disorder involves eccentric behavior and discomfort in close relationships, not necessarily a refusal to follow rules.

D. Narcissistic personality disorder involves grandiosity and a need for admiration, but it is more focused on self-importance than rule defiance.

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A nurse is assessing a newly admitted client who has bulimia nervosa. Which of the following client statements should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

Correct Answer is C

Explanation

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Correct Answer is A

Explanation

A nurse is educating a newly licensed nurse about psychiatric pharmacogenomic testing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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