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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["A","D","E","F"]

Explanation

Findings Consistent with Antisocial Personality Disorder (ASPD)

1. Experience with the legal system since teenage years: Individuals with ASPD often exhibit a pattern of behavior that violates societal norms and legal codes, leading to frequent encounters with the legal system. The client has a history of criminal behavior, including shoplifting, auto theft, and resisting arrest, which aligns with the diagnostic criteria for ASPD.

2. Substance use: Substance abuse is common among individuals with ASPD. The client's history of driving under the influence of alcohol and possession and sale of marijuana demonstrates a disregard for the law and social norms, which is characteristic of ASPD.

3. Acceptance of responsibility: A key feature of ASPD is a lack of remorse or responsibility for one’s actions. The client’s statement, "That car wreck was not my fault! That judge just has it out for me," indicates a refusal to accept responsibility for their actions and a tendency to blame others, which is consistent with ASPD.

4. Relationship with family: Estrangement from family members is often seen in individuals with ASPD due to their manipulative, deceitful, or exploitative behavior, which can damage personal relationships. The client's estrangement from their family supports this pattern of unstable and problematic relationships.

Findings Not Consistent with ASPD

5. Adhering to financial responsibilities: The client does not adhere to financial responsibilities, as evidenced by their eviction for failure to pay rent. This behavior is consistent with ASPD, where individuals often exhibit irresponsibility, particularly in financial matters.

6. Employment status: Employment status alone is not a definitive indicator of ASPD. While the client is currently employed by a food delivery service, which suggests some level of functional ability, it does not provide enough context regarding their overall adherence to social norms or work behavior.

7. Compassion toward others: The client displays a lack of compassion toward others, which is a hallmark of ASPD. They refer to other clients in a derogatory manner ("losers") and show disdain for their feelings. This behavior reflects the lack of empathy and disregard for others typical in ASPD.

8. Rechanneling anger with physical activity: While engaging in physical activity to manage anger is generally a positive coping strategy, it does not specifically relate to the diagnostic criteria for ASPD. The client's use of physical activity to mitigate anger does not negate the presence of other antisocial traits.

A. Monitoring the client's food intake and ensuring a balanced diet B. Allowing unrestricted access to food C. Encouraging the client to engage in regular physical activity D. Ignore signs of distress or emotional triggers E. Minimizing the importance of regular therapy sessions

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

Explanation

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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A nurse is caring for a client with bulimia. The nurse recognizes which of the following would be a therapeutic intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D","E","F"]

Explanation

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.)

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

Explanation

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