A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?

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Question 1 of 5

A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?

Correct Answer: B

Rationale: The correct answer is B: Cognitive behavioral therapy. This type of therapy is commonly used in conjunction with pharmacologic therapy for bulimia nervosa. Cognitive behavioral therapy helps the client identify and change unhealthy thoughts and behaviors related to eating and body image. It also teaches coping strategies and techniques to manage triggers. Behavioral therapy (A) focuses on changing specific behaviors, while cognitive behavioral therapy (B) combines changing behaviors with addressing thoughts and emotions. Interpersonal therapy (C) focuses on improving relationships and communication skills, which may be beneficial but is not the primary treatment for bulimia nervosa. Family therapy (D) involves the client's family in the treatment process, which can be helpful but is not as directly focused on individual behavior change as cognitive behavioral therapy.

Question 2 of 5

Which intervention will promote independence in a patient being treated for bulimia nervosa?

Correct Answer: C

Rationale: The correct answer is C because asking the patient to use a daily log to record feelings and circumstances related to urges to purge promotes self-awareness and insight into triggers. This intervention helps the patient develop coping strategies and identify patterns that contribute to the behavior. Choice A focuses on monitoring physical aspects, which may not address the underlying emotional issues. Choice B promotes weight gain, which is not the primary goal in treating bulimia nervosa. Choice D may not address the emotional and psychological aspects of the disorder. In summary, choice C is the most effective in promoting independence by empowering the patient to understand and manage their impulses.

Question 3 of 5

A student says, "Before taking a test, I feel very alert and a little restless." Which nursing intervention is most appropriate to assist the student?

Correct Answer: A

Rationale: The correct answer is A because it addresses the student's feelings of alertness and restlessness as being related to mild anxiety, which is common before tests. By explaining this and discussing helpful coping strategies, the nurse can provide reassurance and support. Choice B is incorrect as it is not necessary to involve a healthcare provider for mild anxiety symptoms. Choice C is incorrect because antioxidant supplements are not indicated for this situation. Choice D is incorrect as simply listening attentively may not address the underlying issue of anxiety.

Question 4 of 5

The nurse is doing an assessment interview of a patient. During the interview, the patient comments, 'Our people are connected with nature. Our world, our seasons, and our weather—they all have many lessons to teach us.' The nurse interprets the patient's statement as an expression of which of the following?

Correct Answer: C

Rationale: The correct answer is C: Spirituality. The patient's statement reflects a deep connection to nature and the belief that nature holds valuable lessons. This aligns with the concept of spirituality, which involves seeking meaning and purpose in life beyond material possessions. The patient's emphasis on nature suggests a spiritual perspective that values interconnectedness and the wisdom of the natural world. Religiousness (A) typically refers to adherence to specific organized beliefs and practices. Tribal law (B) pertains to legal systems within specific cultural groups. Ecological values (D) focus more on environmental conservation and sustainability, rather than the spiritual or philosophical connection to nature expressed by the patient.

Question 5 of 5

A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for the nurse to use?

Correct Answer: B

Rationale: The correct answer is B: "What did you experience just before and during the attack?" This question is appropriate because it helps gather information about the client's triggers and symptoms during the panic attack, aiding in identifying potential causes and providing appropriate interventions. By understanding the client's experience before and during the attack, the nurse can better assess the situation and provide personalized care. Incorrect Choices: A: "Are you feeling much better now that you are lying down?" - This question does not address the client's experience or provide insight into the panic attack triggers or symptoms. C: "Do you think you will be able to drive home?" - This question is not a priority at the initial assessment and does not focus on understanding the client's condition. D: "What do you think caused you to feel this way?" - While this question is relevant, it is not as specific as asking about the experience before and during the attack, which can provide more immediate information for intervention.

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