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 D

Explanation

During a crisis, the client may be at risk of harming themselves or others. The nurse should take steps to ensure the safety of the client and those around them. Once the immediate safety concerns have been addressed, the nurse can then focus on identifying the cause of the client’s anxiety and helping them develop coping skills.

A. Restate a feeling or thought the patient has expressed. B. Giving advice and opinion about the patient's problem. C. Ask a direct question, such as, “Did you feel angry?" D. Say "I understand what you're saying now."

Correct Answer is A

Explanation

This technique is known as reﬂective listening or active listening, and it involves paraphrasing what the patient has said to show that the nurse is actively listening and trying to understand the patient's feelings and thoughts. It demonstrates empathy and helps to build trust between the nurse and patient.

Option b is not eﬀective because giving advice and opinion can convey a lack of interest in the patient's feelings and thoughts.

Option c is not ideal because it is a closed-ended question that may limit the patient's response.

Option d may also seem insincere and may not reﬂect a genuine interest in the patient's concerns.

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Which is associated with bulimia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

Correct Answer is D

Explanation

Which technique will best communicate to a patient that the registered nurse is interested in listening?

Correct Answer is A

Explanation

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record. which is most appropriate to administer as an as-needed (PRN) anxiolytic medication? Select one:

A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the Client’s distress?

A client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed? Select one:

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:

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

Which is associated with bulimia nervosa?

When reviewing the admission assessment, the Registered nurse notes that a client was admitted to the mental health unit with involuntarily status. Based on this type of admission, the registered nurse should provide which intervention for this client? Select one:

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one: