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Which is a key nursing consideration when planning care for a patient with bulimia nervosa?

  • A. Allow the patient to choose their preferred food options.
  • B. Provide a structured environment with clear expectations around eating behaviors.
  • C. Monitor for signs of weight gain and decrease calorie intake accordingly.
  • D. Encourage the patient to participate in regular exercise routines.
Correct Answer: B

Rationale: The correct answer is B: Provide a structured environment with clear expectations around eating behaviors. This is important in managing bulimia nervosa as it helps establish a routine, promotes healthy eating habits, and prevents binge-purge cycles. It provides consistency and boundaries, reducing the likelihood of impulsive behaviors.

Incorrect choices:
A: Allowing the patient to choose their preferred food options can enable unhealthy eating patterns and reinforce disordered behaviors.
C: Monitoring for weight gain and decreasing calorie intake can worsen the patient's condition and perpetuate their obsession with weight and food.
D: Encouraging regular exercise routines may exacerbate the patient's unhealthy relationship with food and body image, leading to excessive exercising or compensatory behaviors.

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A nurse and social worker co-lead a reminiscence group for eight young-old adults. Which activity is most appropriate to include in the group?

  • A. Mild aerobic exercise
  • B. Singing a song from World War II
  • C. Discussing national leadership during the Vietnam War
  • D. Identifying the most troubling story in todays newspaper
Correct Answer: C

Rationale: Young-old adults (65-75 years) were attuned to conflicts during the Vietnam War. Discussing national leadership from that time (C) suits reminiscence therapy for this age group. Other options (A, B, D) are less relevant.

When a person's sexual identity does not match his or her physical gender, the diagnosis is

  • A. paraphilia
  • B. sexual dysfunction
  • C. gender identity disorder
  • D. androgyny
Correct Answer: C

Rationale: Gender identity disorder (now gender dysphoria) describes a mismatch between identity and physical sex.

What is the most appropriate intervention for a patient with bulimia nervosa who is refusing to eat?

  • A. Encourage the patient to eat small, frequent meals without pressure.
  • B. Force the patient to eat larger meals to prevent further weight loss.
  • C. Allow the patient to skip meals to avoid feeling overwhelmed.
  • D. Focus only on addressing the patient's mental health concerns, not eating habits.
Correct Answer: A

Rationale: The correct answer is A because encouraging the patient to eat small, frequent meals without pressure promotes a balanced approach to eating. This intervention helps to establish a regular eating pattern and prevents episodes of binge-eating. It also respects the patient's autonomy and can help build trust between the patient and healthcare provider.

Choice B is incorrect because forcing the patient to eat larger meals can lead to increased anxiety and resistance, worsening the eating disorder. Choice C is incorrect as allowing the patient to skip meals can perpetuate unhealthy behaviors and reinforce the cycle of restriction and bingeing. Choice D is incorrect because neglecting the patient's eating habits can overlook a crucial aspect of their overall well-being and exacerbate the eating disorder.

A 72-year-old patient has the medical diagnosis of delirium secondary to anticholinergic medication toxicity. Family members are very anxious and express their concerns about the patient's condition. What information should serve as the basis for the nurse's reply?

  • A. Provide education and information regarding the medical diagnosis, delirium secondary to anticholinergic medication toxicity.
  • B. Reassure the family that the patient will recover fully.
  • C. Suggest that the family consider nursing home placement.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A. The nurse should provide education and information about the medical diagnosis, delirium secondary to anticholinergic medication toxicity. This is important because it helps the family understand the condition, its causes, symptoms, and treatment. By educating the family, they can better support the patient and be involved in the care plan.

Choice B is incorrect because it provides false reassurance without addressing the underlying issue or providing necessary information.

Choice C is incorrect because suggesting nursing home placement is premature and not based on the patient's current condition or needs.

Therefore, the best approach is to choose option A to empower the family with knowledge and understanding to better assist the patient.

Behavioral problems in which the person exhibits symptoms suggesting physical disease or injury, but for which there is no identifiable cause, are called

  • A. mood disorders
  • B. schizophrenia
  • C. organic brain pathologies
  • D. somatoform disorders
Correct Answer: D

Rationale: Somatoform disorders feature physical complaints without medical explanation.

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