A nurse is educating the family of an adolescent client with anorexia nervosa about the issues surrounding this eating disorder. Which statement made by the parent indicates that the education is effective?
"The behavior our child exhibits, such as not eating, are ways that allow our child to feel control."
"This is a phase our child is going through, and when they get hungry enough, they will eat."
"Our child must be having some problems identifying their sexual identity, and this is how it is expressed."
"We have a codependent relationship with our child and enable the behaviors exhibited."
The Correct Answer is D
Choice A reason: This statement reflects a partial understanding of the control issues associated with anorexia but does not indicate a full understanding of the disorder's complexity or the family's role in recovery.
Choice B reason: This statement suggests a lack of understanding of anorexia nervosa, as it is not a phase but a serious mental health condition that requires professional treatment.
Choice C reason: While issues with sexual identity can be stressful, they are not typically the cause of anorexia nervosa, which is characterized by an intense fear of gaining weight and a distorted body image.
Choice D reason: Recognizing a codependent relationship and the enabling of unhealthy behaviors shows an understanding of the dynamics that can contribute to the maintenance of an eating disorder like anorexia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is: "Tell me what is concerning you."
Choice A reason:
Asking "Did your husband say something to upset you?" may seem accusatory and could lead the spouse to feel defensive. It does not open a dialogue for the spouse to express their concerns freely and can be perceived as leading the conversation in a negative direction.
Choice B reason:
"Tell me what is concerning you." is an open-ended statement that invites the spouse to share their feelings and concerns. It demonstrates empathy and active listening, which are key components of therapeutic communication. This response encourages the spouse to elaborate on their feelings and fosters a supportive environment.
Choice C reason:
Saying "Your husband is making really good progress!" is reassuring, but it does not address the spouse's current emotional state or concerns. It may come across as dismissive of the spouse's feelings and does not encourage further discussion about their worries.
Choice D reason:
Asking "Did something bad happen to your husband?" can increase anxiety and assumes a negative event has occurred. It is not a therapeutic response because it does not provide comfort or support to the spouse in a stressful situation.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Hyperventilation is a common symptom of anxiety disorders, including GAD, due to increased tension and stress.
Choice B reason: Irritability is often observed in individuals with GAD as a result of persistent worry and stress.
Choice C reason: While anorexia can occur in individuals with anxiety disorders, it is not a specific symptom of GAD.
Choice D reason: Insomnia is a frequent symptom of GAD, as worry and anxiety can make it difficult to fall or stay asleep.
Choice E reason: Fatigue can be a result of chronic anxiety and the associated sleep disturbances common in GAD.
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