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 A

Explanation

A. Word salad refers to a jumble of incoherent words and phrases without logical connection, as seen in the patient’s statement.
B. Echolalia is the repetition of another person’s spoken words, not unrelated word combinations.
C. Neologism is the invention of new, made-up words, not a random string of real words.
D. Anhedonia is the inability to experience pleasure, not a speech disturbance.

A. Making a judgment about the patient's problem. B. Restating a feeling or thought the patient has expressed. C. Asking a direct question, such as "Did you feel angry?" D. Saying "I understand what you're saying"

Correct Answer is B

Explanation

A. Judging the patient can shut down communication and make the patient feel defensive rather than heard.

B. This technique, also called reflective listening, shows the patient that the nurse is actively listening and trying to understand their perspective, encouraging further expression.

C. Direct questions can be useful, but they may limit patient expression and can feel leading rather than supportive.

D. While intended to show empathy, this phrase can be perceived as dismissive if the nurse has not fully explored the patient’s feelings.

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

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