Which best describes a characteristic of bulimia nervosa?

Always avoiding social gatherings and family meals

Bingeing on unhealthy food and purging after, to induce vomiting.

Restricting caloric intake all the time

Following a very strict diet and exercise program

Answer and Explanation

The Correct Answer is B

Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviors such as self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise. Binge eating refers to the consumption of an abnormally large amount of food within a short period, accompanied by a feeling of loss of control overeating. After bingeing, individuals with bulimia nervosa feel guilty, ashamed, and anxious about their behavior, and try to compensate by purging.

Options a, c, and d are incorrect as they do not accurately describe the characteristic features of bulimia nervosa.

Avoiding social gatherings and family meals is a characteristic of social anxiety disorder, not bulimia nervosa. Restricting caloric intake all the time is a characteristic of anorexia nervosa, a diﬀerent type of eating disorder. Following a strict diet and exercise program is not necessarily a characteristic of bulimia nervosa, although some individuals with bulimia nervosa may engage in excessive exercise as a compensatory behavior.

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Correct Answer is C

Explanation

This response acknowledges the client's concerns and invites further discussion about their experience. The nurse can use this information to assess the severity and duration of the client's symptoms, as well as any potential triggers or stressors that may be contributing to their anxiety and inability to concentrate.

Option a "Have you talked to your friends about this yet?" may not be an appropriate response, as the client may need more professional support than what their friends can provide.

Option b "I have problems too, everybody has problems" may be dismissive of the client's concerns and may not help them feel heard or understood.

Option d "Have you talked to your parents about this yet?" may not be an appropriate response, as the client may not feel comfortable discussing their concerns with their parents or may need more professional support than what their parents can provide.

Option e "Why do you think you are so anxious?" may be seen as confrontational and may not help the client feel heard or understood.

Option f "It sounds like you're having a difficult time" acknowledges the client's concerns but does not invite further discussion or provide an opportunity for the nurse to gather more information.

A. The nurse develops a trusting relationship with the patient. B. The patient states,” Talking to you feels like talking to my parents and uncle." C. The patient's reactions toward the nurse seem realistic and appropriate. D. The nurse feels unusually and excessively happy when the patient's mood begins to lift.

Correct Answer is B

Explanation

This statement by the patient suggests that they may be projecting their feelings, thoughts, and attitudes toward their parents and uncle onto the therapist. This projection is a common phenomenon in therapy and is known as transference. Transference occurs when a patient transfers emotions, desires, and expectations from one person to another, usually the therapist. It can be positive or negative and can aﬀect the therapeutic relationship.

Therefore, the statement "Talking to you feels like talking to my parents and uncle" is a clear indication of transference and should be carefully considered by the therapist in the ongoing therapy sessions. The therapist should explore the patient's feelings and experiences with their parents and uncle to better understand the nature of the transference and how it may be aﬀecting the therapeutic process.

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Which best describes a characteristic of bulimia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A psychiatric nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

Correct Answer is B

Explanation

A registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe? Select one:

A registered nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

A young female client is admitted to the emergency room because she was raped that evening by her date. How should the registered nurse record the client's chief complaint in the medical record?

A therapist recently convicted of multiple counts of Medicare fraud says, "Sure I overbilled. Why not? Takes advantage of the government, so I did too, it is not a problem." These statements show: Select one:

The nurse provides care for clients in the pediatric clinic. The nurse understands that according to Erikson Stages of Psychosocial development, trust and significant early attachments develop during which time period?

A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone: Select one: