A client diagnosed with bulimia nervosa has been attending a mental health clinic
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Show Chapter 30- Eating Disorders Management of Eating and Weight While caring for a client with anorexia nervosa, the nurse anticipates that the client would have difficulty making which of the following comments? A. "I'm mad at you because you won't let me go on a pass unless I gain weight!" B. "I need to have everything in its place and perfect." C. "If I gain a pound, I'll just keep gaining weight." D. "I am very involved in preparing my food and counting calories." A nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis? A. "My father was always very thin." B. "I've never really liked myself." C. "I have a lot of confidence in myself." D. "I feel really close to my parents and my brother." A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication? A. Closely monitor your fluid intake while taking this medication. B. Stop taking this medication if it causes weight gain. C. Expect menstrual irregularities, particularly if they've occurred previously. D. Report any weight changes that occur during the first few weeks this medication is taken. The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories? A. Paranoia B. Primary insomnia C. Depression D. Aggression The nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the teaching plan? A. Knowing the calorie content of numerous foods B. Learning strategies to control impulses C. Describing physiologic consequences of anorexia nervosa D. Setting realistic goals A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find? A. Impulsivity B. Panic C. Hyperactivity D. Delusions The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following? A. Feelings of hunger B. Efforts at distraction C. Environmental stimuli D. Rigid rules about eating A psychiatric/mental health nurse working in the community is planning an educational program for fifth and sixth grade teachers. Which of the following would the nurse include? A. Discussion of strategies the teachers can use to counteract the role media plays in encouraging Which signs symptoms should the nurse monitor for when caring for a client diagnosed with bulimia nervosa?The cardinal symptoms of bulimia nervosa include only inappropriate bingeing and compensatory behavior, not low body weight. It is possible for a patient to suffer from bulimia nervosa and be at or above normal weight.
Which form of therapy is emerging as an effective treatment for bulimia?Manual-based cognitive behavioral therapy is the most researched evidence-based treatment for bulimia nervosa.
What is a common characteristic of a person with bulimia group of answer choices?It is characterized by uncontrolled episodes of overeating (called bingeing). This is followed by purging by self-induced vomiting, misuse of laxatives, and other methods. Bulimia typically affects females and starts during the teenage years. But, it can also affect males.
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