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. Amenorrhea: This is more commonly associated with anorexia nervosa rather than bulimia nervosa.

B. Hyperkalaemia: Bulimia nervosa is more likely to cause hypokalemia due to frequent vomiting, which leads to loss of potassium.

C. Dental decay: Frequent vomiting exposes teeth to stomach acid, leading to erosion of dental enamel and subsequent decay.

D. Lower than normal expected reference range of body weight: While some individuals with bulimia nervosa may have a low body weight, many maintain a normal weight or may even be overweight.

A. Advising survivors to keep the assault a secret and not seek help from anyone. B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma. C. Encouraging survivors to blame themselves for the assault to regain a sense of control, D. Discussing the importance of seeking medical attention promptly after a sexual assault.

Correct Answer is D

Explanation

A. Advising survivors to keep the assault a secret and not seek help from anyone: This advice is harmful and can exacerbate the trauma experienced by survivors. It is not evidence-based and goes against promoting recovery and safety.

B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma: Reporting or not reporting to law enforcement is a personal decision and should be supported based on the survivor's needs and wishes. However, encouraging secrecy is not supportive.

C. Encouraging survivors to blame themselves for the assault to regain a sense of control: Self-blame is detrimental to recovery and is not evidence-based. It can worsen psychological distress and hinder healing.

D. Discussing the importance of seeking medical attention promptly after a sexual assault: This is evidence-based and crucial for survivors. Seeking medical attention allows for assessment and treatment of physical injuries, prevention of sexually transmitted infections (STIs), pregnancy prevention (if applicable), and collection of forensic evidence if the survivor wishes to report the assault later.

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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

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