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. Financial exploitation: Financial exploitation involves the illegal or improper use of an elder's funds, property, or assets. It does not involve the direct infliction of physical or psychological harm .
B. Emotional abuse: Emotional abuse involves inflicting psychological harm through verbal or non-verbal acts, such as intimidation, humiliation, or isolation. It directly impacts the elder’s emotional and mental well-being.
C. Neglect: Neglect is the failure to provide necessary care or assistance, leading to harm or distress. It may not involve active infliction of harm but results in harm due to omission of care.
D. Physical abuse: Physical abuse involves the intentional infliction of bodily harm through actions such as hitting, shaking, or restraining. It directly results in physical injury and can also lead to psychological harm. This choice is correct
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.
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