What physical assessment finding is noticeable in a patient who has a history of bulimia?

prominent parotid glands.

25% underweight.

peripheral edema.

lanugo.

Answer and Explanation

The Correct Answer is A

A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.

B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.

C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.

D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.

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Correct Answer is C

Explanation

A. Social support is important for overall risk formulation and safety planning, but it is not the immediate priority when assessing imminent danger.
B. Financial and educational status may contribute to chronic stress and long-term risk, but they do not determine immediate lethality or imminence.
C. The availability of means and the lethality of the chosen method are the most urgent factors to assess because they directly influence the likelihood that an attempt will result in death. Removing or restricting access to lethal means is a high-priority, evidence-based safety intervention.
D. Insight into motivation helps guide treatment and psychotherapy, but it does not supersede immediate safety concerns about access to lethal methods.

A. "If you tell me what is troubling you, I can help you solve your problems." B. "It makes me sad to see you going through such a difficult experience." C. "You must have been very upset when you tried to hurt yourself." D. "Suicide is a drastic solution to a problem that may not be such a serious matter."

Correct Answer is C

Explanation

A. This focuses on problem-solving rather than acknowledging the patient’s feelings, which is not empathy.

B. This expresses the nurse’s feelings, not the patient’s, so it reflects sympathy rather than empathy.

C. This statement acknowledges the patient’s emotional experience and communicates understanding from the patient’s perspective, which demonstrates empathy.

D. This is judgmental and dismissive, showing neither empathy nor support.

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What physical assessment finding is noticeable in a patient who has a history of bulimia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a patient's plan for suicide, what aspect has priority?

Correct Answer is C

Explanation

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Correct Answer is C

Explanation

Which individual in the emergency department should be considered at highest risk for completing suicide?

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