A patient is admitted with a tentative diagnosis of delirium. The patient repeatedly mistakes one of the nursing staff for a family member. The nurse documents that this patient is experiencing a disturbance in which area of functioning?

Correct Answer: C

Rationale: The correct answer is C: Perception. In this scenario, the patient's repeated mistake of identifying a nursing staff as a family member indicates a disturbance in perception, specifically in the recognition and interpretation of sensory information. This confusion is not related to consciousness (A), as the patient is awake and aware. It is also not solely an issue of attention (B), as attention involves the ability to focus on specific stimuli rather than the interpretation of those stimuli. While cognition (D) encompasses various mental processes, such as memory and problem-solving, the primary issue in this case is the misinterpretation of sensory input, aligning with the disturbance in perception.

Correct Answer: C

Rationale: The correct answer is C because individuals with anorexia nervosa often have a distorted body image and see themselves as larger than they actually are. Drawing a grossly obese figure lacking feminine characteristics reflects the distorted self-perception common in anorexia nervosa. Choice A is incorrect as it portrays a positive body image. Choice B may be close, but it focuses more on malnourishment rather than distorted body image. Choice D is incorrect as it reflects admiration for a shapely figure, which may not align with the client's self-perception.

Correct Answer: D

Rationale: The correct answer is D because long-term therapy combined with medication results in the best outcomes for individuals with eating disorders. Therapy helps address underlying psychological issues, while medication can help manage symptoms. Recovery is a complex process that often requires ongoing support. Choice A is incorrect as recovery is not always guaranteed after one severe episode. Choice B is incorrect as many individuals do show improvement over time. Choice C is incorrect as weight restoration alone may not address all aspects of the disorder.

Correct Answer: C

Rationale: The correct answer is C. Self-reflecting on personal feelings regarding body weight and size is crucial for the nurse to be aware of any biases or triggers that may affect patient care. Understanding personal attitudes towards body image can prevent unintentional harm or judgment towards patients. A: Becoming familiar with the unit's policies and procedures is important but not the top priority when dealing with patients with eating disorders. B: Arranging to mentor with a nurse who has experience on the unit can be helpful but does not address the nurse's personal biases. D: Attending an educational seminar is valuable but may not address the nurse's own attitudes towards body image.

Correct Answer: B

Rationale: The correct answer is B because the statement reflects emotional reasoning, a common cognitive distortion in eating disorders. The patient believes that bingeing is an effective way to cope with feelings of isolation and loneliness, which is not a healthy or rational belief. This cognitive distortion can perpetuate the cycle of disordered eating behavior. A: This choice shows a healthy realization and decision-making process, indicating a positive step towards recovery. C: While controlling food intake may be a coping mechanism, it doesn't necessarily indicate a cognitive distortion. D: This choice demonstrates awareness of triggers, which is important for managing the disorder, but it doesn't necessarily indicate a cognitive distortion.