A nurse is caring for a client who has bulimia nervosa has a new prescription for a selective serotonin reuptake inhibitor (SSRI). Which of the following medications should the nurse anticipate administering?
Valproate
Olanzapine
Naltrexone
Fluoxetine
The Correct Answer is D
A. Valproate. Valproate is an anticonvulsant medication primarily used to treat seizures and bipolar disorder, and it is not indicated for the treatment of bulimia nervosa.
B. Olanzapine. Olanzapine is an atypical antipsychotic that may be used in certain eating disorders, but it is not the first-line treatment for bulimia nervosa. SSRIs, specifically fluoxetine, are more commonly prescribed for this condition.
C. Naltrexone. Naltrexone is an opioid antagonist used primarily for alcohol dependence and opioid use disorder. It is not indicated for the treatment of bulimia nervosa.
D. Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that has been shown to be effective in reducing binge-eating and purging behaviors in individuals with bulimia nervosa. It is the medication the nurse should anticipate administering for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I don't eat because I do not like the taste of food." Clients with anorexia nervosa typically avoid food due to intense fears of weight gain and body image concerns rather than a dislike for taste. Their restrictive eating is driven by psychological distress rather than a simple aversion to flavor.
B. "I restrict myself to 2,000 calories per day." Individuals with anorexia nervosa usually consume significantly fewer calories than recommended daily amounts. A restriction of 2,000 calories per day is within normal dietary guidelines and does not reflect the extreme caloric limitation seen in this disorder.
C. "I have certain foods, like pizza, that cause me a lot of fear." Clients with anorexia nervosa often develop strong food-related anxieties, especially about high-calorie or "forbidden" foods. Fear of specific foods is a hallmark feature of the disorder, making this the expected statement.
D. "I don't bother to track the number of calories I eat in a week." Individuals with anorexia nervosa are typically obsessive about tracking their calorie intake, often meticulously counting every calorie consumed. This level of control is a defining characteristic of the disorder.
Correct Answer is A
Explanation
A. Review treatment goals that have been accomplished. In the termination phase of the nurse-client relationship, it is essential to evaluate and review the progress made towards the treatment goals. This helps reinforce the client's achievements and prepares them for future independence.
B. Introduce the concept of discharge planning. While discharge planning is important, it is typically discussed earlier in the nursing process rather than during the termination phase. By this point, the client should already be aware of their discharge plans.
C. Gather data about the client's home situation. This action is more appropriate during the initial assessment phase or when planning care, rather than during termination. The focus should be on reflecting on progress and preparing for discharge.
D. Provide personal contact information to the client for use in case of emergency. This is not appropriate in the termination phase, as it can blur professional boundaries and may not adhere to nursing ethical standards. Instead, referrals to appropriate resources should be provided.
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