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 B

Explanation

This response acknowledges the client's distress and opens the opportunity for the client to express their feelings and concerns. It also demonstrates empathy and a willingness to listen, which can help deescalate the situation and build trust between the nurse and client.

Option a ("Others are being distracted; Please, quiet down and go to your room") is dismissive of the client's feelings and may further escalate the situation.

Option c ("Please go to your room to get control of yourself") is directive and may be perceived as confrontational, potentially increasing the client's agitation.

Option d ("What's going on? Be quiet") is insensitive and dismissive of the client's distress and may further agitate the client.

A. Identify anxiety-producing situations. B. Try to repress feelings of anxiety. C. Eliminate stress and anxiety from daily life. D. Contact the crisis counselor once a week.

Correct Answer is A

Explanation

Chronic anxiety is a persistent feeling of unease, worry, or fear that can interfere with daily life. To manage chronic anxiety, the client needs to identify anxiety-producing situations that trigger their symptoms. This can help the client avoid or cope better with these situations. It is important to note that it is not always possible to eliminate stress and anxiety from daily life, so it is better to focus on managing it eﬀectively.

Trying to repress feelings of anxiety is not a helpful strategy and can make the client's symptoms worse in the long run. Repressing emotions can lead to feelings of frustration, irritability, and even physical symptoms such as headaches or muscle tension.

Contacting the crisis counselor once a week may be helpful for some clients, but it is not a standard recommendation for all clients with chronic anxiety. The discharge plan should include personalized recommendations that are tailored to the client's specific needs and circumstances.

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Which is associated with bulimia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide? Select one:

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one: