When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa, what family dynamic is most likely contributing to the client's condition?
The family has a high level of criticism and perfectionism.
The family has a supportive and nurturing environment.
The family has a history of similar disorders.
The family has a lack of boundaries and control.
The Correct Answer is A
Choice A reason: A family environment characterized by high levels of criticism and perfectionism can contribute to the development of eating disorders like Bulimia Nervosa. Such an environment may lead to feelings of inadequacy and a focus on appearance, which are risk factors for Bulimia Nervosa.
Choice B reason: A supportive and nurturing environment is generally protective against the development of eating disorders.
Choice C reason: While a family history of similar disorders can be a risk factor due to genetic predisposition, it is not a family dynamic.
Choice D reason: Lack of boundaries and control within a family can contribute to various behavioral issues, but high criticism and perfectionism are more directly related to Bulimia Nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Continuing intoxication typically does not cause GI symptoms.
Choice B reason: Delirium tremens is associated with severe alcohol withdrawal but is not directly correlated with GI symptoms.
Choice C reason: Alcohol withdrawal syndrome can cause a variety of symptoms, including GI issues, but they are not as specific as those seen in Wernicke-Korsakoff syndrome.
Choice D reason: Wernicke-Korsakoff syndrome, caused by a deficiency of thiamine (vitamin B1), can lead to GI symptoms among other neurological symptoms.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: While hobbies can be therapeutic, they are not the primary focus of nursing interventions for a client with schizotypal personality disorder and hygiene issues.
Choice B reason: Establishing close relationships is beneficial but may not be the immediate focus for a client who is struggling with basic self-care.
Choice C reason: Improving functioning in the community is a key goal for clients with schizotypal personality disorder to help them integrate better into society.
Choice D reason: Developing social skills is essential for clients with schizotypal personality disorder to interact more effectively with others.
Choice E reason: Development of self-care skills is crucial, especially given the client's unkempt appearance and lack of bathing, indicating a need for better personal hygiene practices.
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