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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.
Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.
Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.
Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: While sleep disorders can be associated with eating disorders, breathing-related sleep disorders are not commonly known as a direct comorbidity.
Choice B reason: Schizophrenia is a separate mental health condition and is not typically considered a comorbidity of eating disorders.
Choice C reason: OCD can be a comorbidity of eating disorders, as both involve anxiety and control issues.
Choice D reason: Anxiety is commonly comorbid with eating disorders, as anxiety can contribute to the development and maintenance of these disorders.
Choice E reason: Depression is often comorbid with eating disorders, as the psychological distress related to eating disorders can lead to depressive symptoms.
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