A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

"I have binged and purged for years without my family or friends knowing."

"I feel an emotional high during my binge-purge episodes."

"I only use the laxatives when I am feeling constipated."

"I feel a sense of power by restricting my food intake."

Answer and Explanation

The Correct Answer is A

A.   This behavior reflects the secretive and recurring nature of binge-purge cycles characteristic of bulimia nervosa. The condition often involves a pattern of eating large amounts of food (binging) followed by compensatory behaviors such as self-induced vomiting (purging) to prevent weight gain.
B.   This statement is not characteristic of bulimia nervosa.
C.   This statement could indicate laxative abuse, which may occur in individuals with bulimia nervosa, but it is not specific to the disorder.
D.   This statement could indicate anorexia nervosa, which is characterized by restrictive eating, but it is not specific to bulimia nervosa.

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Correct Answer is D

Explanation

A. Providing childcare funding would not directly address the needs of elderly people with health issues who have trouble getting around.
B. While teaching about the dangers of lead-based paint is important, it does not directly address the needs of elderly people with health issues who have trouble getting around.
C. While partnering with a nonprofit organization for the local farmers' market to sell fresh produce twice a week is beneficial, it does not directly address the needs of elderly people with health issues who have trouble getting around.
D. Advocating for more transportation to health care facilities directly addresses the needs of elderly people with health issues who have trouble getting around.

A. Use a dosimeter to measure the level of radiation in the area before intervening. B. Choose the highest level of protection equipment available. C. Wait until the type of equipment needed is known. D. Decontaminate victims before intervening.

Correct Answer is B

Explanation

A. Using a dosimeter to measure radiation levels may be necessary in certain situations, but it is not the first step in determining what type of PPE to use.
B. Choosing the highest level of protection equipment available is important in minimizing the chances of the provider contacting the disease.
C. Waiting before delivering care might lead to loss of valuable time.
D. Decontaminating victims before intervening is not the nurse's responsibility. The focus should be on protecting oneself and providing care to those who need it.

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A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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