A nurse is caring for a client who has a binge-eating disorder. Which of the following statements should the nurse expect from this client?

I feel so defeated and want to hide after I have binged.

I am able to control the pace of my bingeing when I start getting full.

My binges usually start off with feeling hungry.

I binge to reward myself for completing difficult tasks.

Answer and Explanation

The Correct Answer is A

The correct answer is a. I feel so defeated and want to hide after I have binged.

Choice A Reason:

Individuals with binge-eating disorder often experience intense feelings of shame, guilt, and defeat after a binge episode. This emotional response is a hallmark of the disorder and can lead to further cycles of binge eating as a way to cope with these negative emotions. The statement “I feel so defeated and want to hide after I have binged” accurately reflects the emotional turmoil that accompanies binge-eating episodes.

Choice B Reason:

The statement “I am able to control the pace of my bingeing when I start getting full” is not typically associated with binge-eating disorder. People with this disorder often feel a loss of control over their eating during a binge episode and are unable to stop even when they are full. This lack of control is a key diagnostic criterion for binge-eating disorder.

Choice C Reason:

While feeling hungry can trigger a binge, it is not the primary characteristic of binge-eating disorder. The disorder is more about the uncontrollable nature of the eating episodes and the emotional distress that follows, rather than just responding to hunger. Therefore, the statement “My binges usually start off with feeling hungry” does not fully capture the essence of the disorder.

Choice D Reason:

Binge-eating as a reward for completing difficult tasks is not a typical feature of binge-eating disorder. The disorder is more about using food as a way to cope with negative emotions rather than as a reward. The statement “I binge to reward myself for completing difficult tasks” does not align with the common emotional triggers for binge-eating episodes.

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Correct Answer is C

Explanation

d. Speaks another language and is in need of an interpreter to translate.

The correct answer is c. Is accompanied by a family member who will not let the client answer questions.

Choice A Reason: Is from another state and says they are here on a long vacation

This choice is not necessarily indicative of human trafficking. While being from another state and claiming to be on a long vacation might raise some questions, it is not a definitive sign of trafficking. Many people travel for various reasons, and this alone does not suggest that the person is a victim of human trafficking.

Choice B Reason: Has a cell phone that is not working in the emergency department

This choice is also not a strong indicator of human trafficking. A non-working cell phone can be due to many reasons, such as technical issues or lack of service. While traffickers may sometimes control their victims’ communication devices, this alone is not enough to suspect trafficking.

Choice C Reason: Is accompanied by a family member who will not let the client answer questions

This choice is a strong indicator of human trafficking. Traffickers often control their victims’ interactions with others, including healthcare providers. If a family member or companion is overly controlling and does not allow the client to speak for themselves, it raises a significant red flag for potential trafficking. This behavior is often seen in trafficking situations to prevent the victim from disclosing their true circumstances.

Choice D Reason: Speaks another language and is in need of an interpreter to translate

This choice is not a definitive sign of human trafficking. Many people who are not victims of trafficking may speak another language and require an interpreter. While language barriers can complicate communication, they do not alone indicate trafficking. However, if combined with other signs, it could contribute to a suspicion of trafficking.

A. Assist the client to identify the triggering situation and choose a coping strategy. B. Send the client to the crisis intervention unit for 23 hours of observation. C. Restrain the client to prevent self-harm. D. Advise the client to take an anxiolytic to decrease their anxiety level.

Correct Answer is A

Explanation

Choice A Reason: Assist the client to identify the triggering situation and choose a coping strategy

This is the correct answer. Assisting the client to identify the triggering situation and choose a coping strategy is a therapeutic approach that empowers the client to understand and manage their emotions. This intervention helps the client develop skills to cope with distressing feelings and reduces the likelihood of self-harm. It is essential to address the underlying issues and provide support in a constructive manner.

Choice B Reason: Send the client to the crisis intervention unit for 23 hours of observation

While sending the client to a crisis intervention unit may be necessary in some cases, it is not the first step. Immediate therapeutic intervention to help the client understand and manage their emotions is crucial. Observation alone does not address the underlying issues or provide the client with coping mechanisms.

Choice C Reason: Restrain the client to prevent self-harm

Restraint should be a last resort and only used when there is an immediate risk of harm that cannot be managed through other means. It is important to first attempt less restrictive interventions that help the client manage their emotions and behaviors.

Choice D Reason: Advise the client to take an anxiolytic to decrease their anxiety level

While medication can be part of the treatment plan, it should not be the first intervention. Addressing the client’s immediate emotional needs and helping them develop coping strategies is crucial. Medication can be considered as part of a comprehensive treatment plan but should not replace therapeutic interventions.

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A nurse is caring for a client who has a binge-eating disorder. Which of the following statements should the nurse expect from this client?

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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