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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While methamphetamine use can lead to risky behaviors that may increase the risk of injury, it is not directly associated with brain trauma and injury.
B. Methamphetamine use is not directly associated with bone loss and osteoporosis.
C. Methamphetamine use is not directly associated with liver and pancreatic disease.
D. Methamphetamine use can lead to blood vessel constriction and spasming, which can increase the risk of heart disease and stroke.
Correct Answer is D
Explanation
A. This response dismisses the client's concerns and does not address the underlying issue.
B. This response is appropriate, but it does not address the underlying issue of altered taste perception.
C. This response suggests a solution but does not address the underlying issue of altered taste perception.
D. This response acknowledges the client's concerns and provides an explanation for the altered taste perception, which can be reassuring and informative.
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