The nurse recognizes that which of the following types of elder abuse involves the intentional infliction of physical and psychological harm on an older adult?

A. Promoting rehabilitation directed toward achievement of each individual's maximum level of functioning: This describes tertiary prevention, which focuses on reducing the impact of an ongoing illness that has lasting effects by helping people manage long-term, complex health problems.

B. Services aimed at reducing the residual defects that are associated with severe and persistent mental illness: This is also an aspect of tertiary prevention, which involves managing chronic conditions to prevent further deterioration.

C. Services aimed at reducing the incidence of mental disorders within the population: This describes primary prevention, which involves efforts to prevent the onset of illness before it occurs, typically through community health initiatives and education.

D. Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness: This correctly defines secondary prevention, which involves early detection and treatment of disease to halt progression and reduce the severity and duration of the condition.

A. Arranging for individual therapy sessions: While individual therapy can be beneficial for clients with bulimia, it is not the sole intervention and typically part of a broader treatment plan. Therapy should focus on cognitive-behavioral strategies to address eating behaviors and underlying emotional issues.

B. Encouraging the client to keep a food diary: Keeping a food diary is a common therapeutic intervention for bulimia. It helps clients become more aware of their eating patterns and triggers for binge eating and purging behaviors. It also assists in identifying emotional and situational triggers that can be addressed in therapy.

C. Administering a medication to suppress the client's appetite: Appetite suppressants are not typically used in the treatment of bulimia. The focus is on addressing the underlying psychological issues and behaviors rather than suppressing appetite, as bulimia involves cycles of binge eating followed by compensatory behaviors like vomiting or laxative use.

D. Scheduling daily weigh-ins for the client: Daily weigh-ins can contribute to increased anxiety and obsession with weight, which may exacerbate bulimic behaviors. Therapeutic interventions for bulimia should focus on normalizing eating patterns and addressing the psychological aspects of the disorder rather than focusing on weight.