Which is associated with bulimia nervosa?

Very low BMI

Decreased size of parotid glands

Calluses on the hands and fingers (Russell's sign)

Fluid and electrolyte overload

Answer and Explanation

The Correct Answer is C

Russell’s sign is a physical symptom that is associated with bulimia nervosa. It refers to the presence of calluses on the knuckles or back of the hand that are caused by repeated self-induced vomiting.

Option a. Very low BMI is not typically associated with bulimia nervosa. People with bulimia nervosa may have a normal or above-normal BMI.

Option b. Decreased size of parotid glands is not associated with bulimia nervosa. In fact, people with bulimia nervosa may have an enlarged parotid gland due to repeated vomiting.

Option d. Fluid and electrolyte overload is not typically associated with bulimia nervosa. People with bulimia nervosa may experience ﬂuid and electrolyte imbalances due to repeated vomiting and laxative abuse.

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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. has faster Start of acting than diazepam. B. does not produce blood dyscrasias or low WBC count. C. does not cause dependence and benzodiazepines cause dependence. D. can be administered as needed (PRN) only when you feel very anxious

Correct Answer is C

Explanation

Buspirone and benzodiazepines are both medications used to treat anxiety disorders, but they work in diﬀerent ways. Benzodiazepines like Xanax work by enhancing the eﬀects of a neurotransmitter called GABA, which can produce a sense of relaxation and calmness. However, benzodiazepines can also cause dependence, tolerance, and withdrawal symptoms when used for a prolonged period.

On the other hand, buspirone works by binding to serotonin and dopamine receptors in the brain, which can reduce anxiety. Unlike benzodiazepines, buspirone does not cause dependence, tolerance, or withdrawal symptoms, which makes it a safer option for long-term treatment of anxiety disorders.

Therefore, the healthcare provider may have prescribed buspirone instead of alprazolam because it is a safer alternative for long-term use, especially for individuals who have a history of substance abuse or dependence. The nurse should explain the benefits of buspirone and address any concerns the client may have about the medication.

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Which is associated with 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

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:

Correct Answer is C

Explanation

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