A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa?

Correct Answer: D

Rationale: The correct answer is D because in bulimia nervosa, individuals often have enmeshed relationships with their mothers, feeling overly dependent or fused with them. Choice D suggests a healthy boundary between the client and her mother, indicating a level of independence not typically associated with bulimia nervosa. Choices A, B, and C all align with common themes seen in individuals with bulimia nervosa, such as seeking emotional support from the mother, feeling responsible for the mother's emotions, and experiencing a lack of structure or rules within the family dynamic.

Correct Answer: B

Rationale: Step 1: Asking "What brings you into the hospital today?" is most helpful as it allows the patient to express their immediate concerns and reasons for admission. Step 2: This question helps establish rapport, gather important information, and set the tone for the assessment. Step 3: Understanding the patient's presenting issues is crucial for providing appropriate care and intervention. Step 4: The other options are not as relevant for the initial assessment as they focus on past psychiatric history, suicidal ideation, or unrelated personal relationships. Summary: Option B is the correct choice as it focuses on the current situation, which is crucial for the initial assessment, while the other options are less relevant for gathering immediate, pertinent information.

Correct Answer: C

Rationale: The correct answer is C: Nonfatal act with the intent to die. Parasuicide refers to self-harming behaviors that are not fatal but are carried out with the intention of causing harm or death to oneself. This differs from a voluntary act of killing oneself (Option A), as parasuicide does not result in death. It also differs from all suicide-related behaviors and thoughts (Option B), as parasuicide specifically involves nonfatal actions. Finally, it is distinct from a voluntary attempt without death as the aim (Option D), as parasuicide is characterized by the intent to die, even though death may not occur.

Correct Answer: A

Rationale: The correct answer is A because the instructor's response highlights the potential negative impact of the student's question on the client. By pointing out that the question implied criticism, the instructor is guiding the student to be more mindful of their language and approach with clients. This response promotes patient-centered care and emphasizes the importance of maintaining a non-judgmental and supportive environment for clients. Choice B is incorrect because it focuses on the positive aspect of the student's question without addressing its potential harm. Choice C is incorrect because it assumes the student's question was appropriate when it may have been insensitive. Choice D is incorrect because it only mentions the student's focus on the topic without addressing the underlying issue of possible criticism.

Correct Answer: A

Rationale: The correct answer is A: Oral. Suspicion and manipulation are traits associated with fixation at the oral stage, according to Freud's psychosexual development theory. At this stage, the primary focus is on oral activities such as sucking and biting. Fixation can lead to traits like suspicion and manipulation. The other choices are incorrect because they correspond to different stages: B) Anal relates to issues with control and orderliness, C) Phallic relates to Oedipus complex and gender identity, and D) Genital is the mature stage where healthy relationships are formed.