After being raped, a woman was told by her aunt, 'I'm not surprised that happened to you. You were asking for it.' A few days later, a friend told her, 'Well after all, he took you to dinner. He expected something in return.' The victim states, 'I can't believe that people can think that way.' The rape crisis nurse correctly hypothesizes that the client is:

Correct Answer: A

Rationale: The correct answer is A: Experiencing cognitive dissonance. Cognitive dissonance refers to the mental discomfort or conflict that occurs when a person's beliefs or attitudes are inconsistent with their actions or experiences. In this scenario, the woman is facing conflicting beliefs - she knows she did not ask for or deserve to be raped, yet the comments from her aunt and friend suggest otherwise. This leads to the woman feeling disbelief and distress. Summary: B: In denial about the rape - This choice does not address the conflicting beliefs the woman is experiencing. C: Seeking validation from others - While seeking validation may be a natural response, it does not capture the essence of cognitive dissonance in this context.

Correct Answer: A

Rationale: The correct answer is A because educating staff about realistic expectations for working with persons with cognitive impairment can help them understand the challenges they may face and develop appropriate coping strategies. This knowledge can reduce frustration and burnout by promoting a better understanding of the patients' needs and behaviors. Choice B, arranging for 12-hour shifts, may actually increase staff burnout as longer shifts can be physically and mentally taxing. Choice C, guiding staff to use small, realistic goals, while helpful in patient care, may not directly address staff burnout. Therefore, the most effective approach to minimize staff frustration and burnout in this scenario is education on realistic expectations.

Correct Answer: A

Rationale: Step-by-step rationale: 1. A: Not skipping meals or restricting food promotes regular eating patterns, helps stabilize blood sugar levels, and reduces the urge to binge. 2. B: Eating a small meal after purging could reinforce the binge-purge cycle and is not a healthy approach. 3. C: Eating a large breakfast but skipping lunch can lead to imbalanced eating habits and is not recommended for treating bulimia nervosa. 4. D: None of the above options provide a comprehensive and effective approach to managing bulimia nervosa symptoms.

Correct Answer: A

Rationale: Step 1: Individuals with bulimia often engage in episodes of binge eating followed by purging behaviors. Step 2: Choice A, a person who is significantly overweight, is more likely to engage in binge eating behavior. Step 3: Being overweight can be a risk factor for bulimia due to body image concerns. Step 4: Choices B and C do not provide as strong indicators for bulimia as choice A. Summary: Choice A is correct as being significantly overweight is a common characteristic of individuals with bulimia. Choices B and C lack the same level of risk factors for engaging in eating behaviors characteristic of bulimia.

Correct Answer: C

Rationale: The correct answer is C because anorexia nervosa is characterized by restricting food intake and having an intense fear of gaining weight. This behavior leads to severe weight loss and malnutrition. Choice A is typically associated with bulimia nervosa, where binge eating is followed by purging. Choice B also aligns with bulimia, as self-induced vomiting is a common purging behavior. Choice D describes behaviors more typical of binge eating disorder, where individuals consume large quantities of food followed by excessive exercise. In anorexia nervosa, the primary focus is on severe food restriction and the fear of weight gain, leading to significantly low body weight.