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 A
Explanation
Choice A reason: Given Brian's recent substance use and expression of not being able to tolerate depressive feelings, a suicide risk assessment is the highest priority to ensure his immediate safety.
Choice B reason: While a neurological assessment may be relevant, it is not the highest priority when there is a potential risk of suicide.
Choice C reason: Assessing the amount of current cannabis use is important but secondary to evaluating the risk of suicide.
Choice D reason: Marital status may inform social support but is not the highest priority in the context of potential self-harm.
Correct Answer is ["B","D"]
Explanation
Choice A reason: Having two nurses present at all times may not be necessary and could be overwhelming for the client, making them feel less in control.
Choice B reason: Continuous assessment of the client's anxiety level is important to ensure that the nurse can respond to the client's needs and maintain a sense of safety.
Choice C reason: While promoting independence is good, the client may need assistance, and providing it can be part of creating a safe environment.
Choice D reason: Asking for permission is crucial as it respects the client's autonomy and helps them feel in control of their body, which is essential for someone who has experienced abuse.
Choice E reason: Having security present outside the room may be excessive and could contribute to a feeling of being guarded or watched, which may not be conducive to feeling safe and secure.
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