The mother of a teen with an eating disorder tells the nurse, "Our family is pretty well adjusted. It's hard for me to imagine what we could have done to have this happen." The nurse can promote more complete understanding of the etiology of eating disorders by mentioning that young women are also influenced by:

Correct Answer: B

Rationale: The correct answer is B: the fashion industry's idealization of thinness. This is because the fashion industry often promotes thinness as the ideal body type, leading to societal pressure on young women to conform to this standard. This can contribute to the development of eating disorders as individuals may engage in unhealthy behaviors to achieve or maintain a thin body shape. A: the abundance of nutritious foods available - While access to nutritious foods is important for overall health, it does not directly influence the development of eating disorders. C: competition in the work place - While workplace competition may contribute to stress, it is not a primary factor in the development of eating disorders. D: the biologic tendency to be underweight - While genetic factors can play a role in susceptibility to eating disorders, it is not the primary influence in the development of these disorders in young women.

Correct Answer: B

Rationale: The correct answer is B: uses autodiagnosis. Autodiagnosis is critical in the nurse-client relationship as it involves self-awareness and reflection by the nurse to understand their own biases, emotions, and reactions. This self-awareness allows the nurse to effectively manage their responses, maintain professionalism, and provide quality care to the client. By being aware of their own thoughts and feelings, nurses can better empathize with the client, build trust, and communicate effectively. This approach helps prevent potential conflicts and misunderstandings, leading to better outcomes in the nurse-client relationship. Summary: A: Developing trust in the client is important but not the most critical measure. C: Relying on the client liking the nurse is not professional and may compromise boundaries. D: Analyzing biologic, familial, and sociocultural factors is important but not as critical as self-awareness through autodiagnosis.

Correct Answer: C

Rationale: The correct answer is C because examining the nurse's own feelings about weight is essential to ensure they have a neutral and non-judgmental attitude towards the patient. This self-awareness helps the nurse avoid projecting biases onto the patient and fosters a therapeutic relationship. Performing a complete patient assessment (A) is important but not the first step. Obtaining a history from the patient's family (B) may be helpful but is not the initial priority. Questioning the patient about their last meal (D) is important but does not address the nurse's own attitudes and biases that could impact care.

Correct Answer: C

Rationale: The correct answer is C: Cognitive behavioral therapy (CBT). CBT is the most effective therapy for eating disorders based on research evidence. It helps patients identify and change negative thoughts and behaviors related to food and body image. CBT also teaches coping skills and strategies to manage triggers. Supportive therapy (choice A) offers emotional support but may not target the underlying issues. Behavioral therapy (choice B) focuses on changing specific behaviors but may not address cognitive patterns. Psychoanalytical group therapy (choice D) delves into past experiences but is not as effective as CBT in treating eating disorders.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) 9 students reporting clinically significant symptoms of depression in a class of 33. This estimate is based on statistical data that suggests approximately 1 in 4 youths may experience mental health issues like depression. By applying this rate to the class size, we can estimate that around 9 students would be affected. Option A) 1 student reporting symptoms would be too low based on the prevalence rate of mental health issues among youth. Option B) 4 students is also too low and does not align with the expected prevalence rate of depression in the youth population. Option D) 13 students reporting symptoms would be too high based on the 1 in 4 estimate and would overestimate the number of students likely to be affected. Educationally, this question highlights the importance of understanding the prevalence of mental health issues in specific populations, such as youth in a school setting. It emphasizes the need for healthcare providers to be aware of these trends to effectively support and address the mental health needs of young individuals. By making this estimation, professionals can better prepare to provide appropriate care and resources to those in need.