A nurse is caring for a client with an eating disorder. Which safety considerations should the nurse prioritize for a client with Binge eating disorder? (Select All that Apply.)

Monitoring the client's food intake and ensuring a balanced diet

Allowing unrestricted access to food

Encouraging the client to engage in regular physical activity

Ignore signs of distress or emotional triggers

Minimizing the importance of regular therapy sessions

Answer and Explanation

Correct Answer : A,C

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.

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Correct Answer is C

Explanation

A. "I just don't remember what I did this morning." This statement reflects an inability to recall the events of the morning, which is a common symptom in Alzheimer's disease but does not constitute confabulation. It simply indicates memory loss.

B. "This morning, this morning, this morning..." Repetition of words or phrases can indicate a language or communication issue often seen in Alzheimer's disease but is not an example of confabulation. It may reflect confusion or perseverance.

C. "It was good. The Queen of England visited me there." Confabulation involves the creation of false memories or statements to fill in gaps in memory. The client's statement about the Queen of England visiting is a fabricated or distorted memory and is an example of confabulation. This choice is correct.

D. "Snip, snap. Take a nap." This phrase is nonsensical and may indicate disorganized thinking or speech, which can occur in Alzheimer's disease, but it is not an example of confabulation. It does not fill a memory gap with a fabricated story. Therefore, this choice is incorrect.

A. Medication side effects B. Hypothyroidism C. Vitamin B12 deficiency D. Multiple small brain infarcts

Correct Answer is ["A","B","C"]

Explanation

A. Medication side effects: Certain medications can cause cognitive impairment that mimics dementia, but this condition is often reversible if the medication is adjusted or discontinued.

B. Hypothyroidism: Hypothyroidism can lead to cognitive impairment that may be reversible with appropriate thyroid hormone replacement therapy.

C. Vitamin B12 deficiency: Deficiency in vitamin B12 can cause cognitive deficits that are often reversible with supplementation.

D. Multiple small brain infarcts: This condition, often associated with vascular dementia, usually leads to permanent brain damage and is typically not reversible.

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A nurse is caring for a client with an eating disorder. Which safety considerations should the nurse prioritize for a client with Binge eating disorder? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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