Which of the following is an expected finding for a patient with anorexia nervosa?

Correct Answer: C

Rationale: The correct answer is C. Patients with anorexia nervosa often have bradycardia and hypotension due to the physiological effects of severe malnutrition. Explanation: Severe restriction of food intake leads to decreased energy stores, causing the body to slow down its metabolic processes, including heart rate and blood pressure. Bradycardia and hypotension are common findings in individuals with anorexia nervosa. Summary: A: Increased appetite and food cravings are not expected findings in anorexia nervosa as patients typically have a decreased appetite. B: A body mass index (BMI) in the normal range is not expected in anorexia nervosa, as patients often have a low BMI due to significant weight loss. D: Elevated blood pressure and rapid pulse are not typical findings in anorexia nervosa; rather, patients may present with low blood pressure and bradycardia.

Correct Answer: C

Rationale: The correct answer is C because it indicates a lack of awareness about the harmful consequences of purging. The statement suggests a rationalization of continuing the harmful behavior, showing a need for further education on the risks associated with purging. Choice A demonstrates understanding of the harm, B shows progress in controlling binge eating, and D acknowledges the potential benefits of therapy. Educating the patient about the dangers of purging is crucial in addressing their condition effectively.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Eliminating purging behaviors addresses the primary symptom of bulimia nervosa. 2. Establishing healthy eating habits promotes long-term recovery and overall well-being. 3. Focusing on behavior change rather than weight control aligns with evidence-based treatment. 4. This goal is client-centered, prioritizing the patient's mental and physical health. Summary: A: Focusing solely on exercise does not address the root cause of bulimia. C: Emphasizing weight maintenance may reinforce unhealthy body image and behaviors. D: Adopting a restrictive diet can exacerbate disordered eating patterns and harm health.

Correct Answer: A

Rationale: Step 1: Withholding of feelings is a key feature of avoidant personality disorder, indicating difficulty in expressing emotions. Step 2: Low self-esteem is also characteristic, as individuals with this disorder often feel inadequate and inferior. Step 3: Insistence on others conforming to own methods (B) is more indicative of narcissistic personality disorder. Step 4: Engaging in impulsive acts like unsafe sex (C) is more aligned with borderline personality disorder. Step 5: Initial charm dissolving into coldness and blaming others (D) is a trait of antisocial personality disorder.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy and offers a therapeutic approach to help the patient manage their hair-trigger responses. By suggesting ways to slow down and think before acting, the nurse is providing practical strategies for the patient to work on self-regulation and impulse control. This response shows active listening and a commitment to supporting the patient in developing coping mechanisms. Option B is incorrect as it focuses on exploring the root cause rather than offering immediate support. Option C is incorrect as it may encourage dwelling on past mistakes rather than focusing on problem-solving. Option D is incorrect as it praises the patient without addressing the need for behavior change.