A nurse is caring for a client with bulimia. The nurse recognizes which of the following would be a therapeutic intervention?
Arranging for individual therapy sessions
Encouraging the client to keep a food diary
Administering a medication to suppress the client's appetite
Scheduling daily weigh-ins for the client
The Correct Answer is B
A. Arranging for individual therapy sessions: While individual therapy can be beneficial for clients with bulimia, it is not the sole intervention and typically part of a broader treatment plan. Therapy should focus on cognitive-behavioral strategies to address eating behaviors and underlying emotional issues.
B. Encouraging the client to keep a food diary: Keeping a food diary is a common therapeutic intervention for bulimia. It helps clients become more aware of their eating patterns and triggers for binge eating and purging behaviors. It also assists in identifying emotional and situational triggers that can be addressed in therapy.
C. Administering a medication to suppress the client's appetite: Appetite suppressants are not typically used in the treatment of bulimia. The focus is on addressing the underlying psychological issues and behaviors rather than suppressing appetite, as bulimia involves cycles of binge eating followed by compensatory behaviors like vomiting or laxative use.
D. Scheduling daily weigh-ins for the client: Daily weigh-ins can contribute to increased anxiety and obsession with weight, which may exacerbate bulimic behaviors. Therapeutic interventions for bulimia should focus on normalizing eating patterns and addressing the psychological aspects of the disorder rather than focusing on weight.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.
B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.
C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.
D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.
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.
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