The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which interventions would be included in the plan of care? (Select all that apply.)
Observe the client for 1–2 hours after each meal in a central area.
Assess the client for electrolyte imbalances.
Allow the client to remain on current laxatives.
Do not allow the client to keep a food diary during hospitalization.
Be alert to hidden or discarded wrappers.
Correct Answer : A,B,E
Choice A reason: Monitoring after meals reduces opportunities for purging behaviors such as vomiting or excessive exercise, which are common in bulimia nervosa.
Choice B reason: Electrolyte disturbances, particularly hypokalemia, are common due to vomiting and laxative abuse. Ongoing assessment is critical for patient safety.
Choice C reason: Continuing laxative use perpetuates the disorder and poses health risks such as dehydration and bowel damage. This is contraindicated.
Choice D reason: Food diaries are sometimes used in therapy to help patients increase awareness of eating patterns. Outright prohibition may remove a useful therapeutic tool unless misused.
Choice E reason: Patients with bulimia may attempt to conceal evidence of binge eating. Being attentive to hidden or discarded wrappers is an important part of monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A reason: Monitoring after meals reduces opportunities for purging behaviors such as vomiting or excessive exercise, which are common in bulimia nervosa.
Choice B reason: Electrolyte disturbances, particularly hypokalemia, are common due to vomiting and laxative abuse. Ongoing assessment is critical for patient safety.
Choice C reason: Continuing laxative use perpetuates the disorder and poses health risks such as dehydration and bowel damage. This is contraindicated.
Choice D reason: Food diaries are sometimes used in therapy to help patients increase awareness of eating patterns. Outright prohibition may remove a useful therapeutic tool unless misused.
Choice E reason: Patients with bulimia may attempt to conceal evidence of binge eating. Being attentive to hidden or discarded wrappers is an important part of monitoring.
Correct Answer is D
Explanation
Choice A reason: NANDA-I provides standardized nursing diagnoses but does not list or categorize symptoms for specific psychiatric disorders.
Choice B reason: The Nursing Outcomes Classification focuses on measurable patient outcomes after interventions, not on identifying symptoms of mental disorders.
Choice C reason: The Nursing Interventions Classification outlines evidence-based nursing actions and strategies, but it does not define or organize psychiatric symptoms.
Choice D reason: The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is the authoritative resource for identifying and categorizing symptoms of mental disorders. It provides diagnostic criteria and symptom patterns for each psychiatric condition, making it the correct choice.
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