The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?

Correct Answer: C

Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers. Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa. Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques. Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and shows empathy by directly acknowledging the client's statement. By repeating the client's words, it encourages further elaboration. Option A is incorrect as it simply acknowledges medication use without exploring the client's feelings. Option C shifts the focus away from the client's statement. Option D introduces family dynamics, which may not be relevant or may potentially pressure the client.

Correct Answer: D

Rationale: The correct answer is D: Physical health. Successful aging is not solely dependent on physical health, as individuals can still age successfully despite some physical health challenges. Capacity to adapt to change, engagement in life, and stability with reliable social support are key qualities that contribute significantly to successful aging. Adapting to changes helps individuals cope with life transitions, staying engaged in life promotes mental well-being, and having stable social support enhances overall quality of life. Therefore, physical health, while important, is considered least important compared to the other qualities in contributing to successful aging.

Correct Answer: C

Rationale: Rationale: According to Maslow's hierarchy of needs, self-fulfillment is the highest level of need, representing personal growth and reaching one's full potential. This is known as self-actualization. Clients who discuss feelings of self-fulfillment are considered highly evolved and mature as they have satisfied lower-level needs and are focused on personal growth. Choices A, B, and D relate to lower levels of needs such as safety, belongingness, and esteem respectively, which are not as advanced as self-fulfillment. Therefore, choice C is the correct answer as it aligns with the highest level of need in Maslow's hierarchy.

Correct Answer: D

Rationale: The correct answer is D because anxiety and depression in an incest survivor are considered normal reactions to posttraumatic events. Survivors often experience these symptoms as a result of the trauma they have endured. It is important for the survivor to understand that these reactions are common and part of the healing process. Choice A is incorrect because complete eradication of these symptoms may not be realistic. Choice B is incorrect as it downplays the seriousness of the survivor's experience. Choice C is incorrect because labeling the symptoms as abnormal may further stigmatize the survivor.