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. 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.

A. WBC 5,000/mm3 B. Platelets 150,000/mm3 C. CD4-T-cell count 180 cells/mm3 D. Positive Western blot test

Correct Answer is C

Explanation

A. A WBC count of 5,000/mm3 is within the normal range (4,000-11,000/mm3) and is not a priority value to monitor in a client with HIV.
B. A platelet count of 150,000/mm3 is within the normal range (150,000-400,000/mm3) and is not a priority value to monitor in a client with HIV.
C. The CD4-T-cell count is a key indicator of the immune system's function in clients with HIV. A CD4-T-cell count of 180 cells/mm3 is significantly below the normal range (500-1,500 cells/mm3) and indicates a weakened immune system, which is a priority concern in clients with HIV.
D. A positive Western blot test confirms the diagnosis of HIV, but it does not provide information about the severity of the client's condition or their immune system function.

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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

A nurse is caring for a client who is 1-day postoperative following a total laryngectomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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