A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?
"I spend lots of time searching for new recipes."
"I have so much energy."
"I enjoy wearing form-fitting clothes to show off my body."
"I know I am skinny."
The Correct Answer is D
Rationale:
A. Spending time searching for new recipes does not necessarily indicate anorexia nervosa and might be associated with interest in food without consumption.
B. Reporting high energy levels is not characteristic of anorexia nervosa, where clients often suffer from fatigue due to inadequate nutrition.
C. Enjoying wearing form-fitting clothes is more indicative of a positive body image, which is not typical of those with anorexia nervosa.
D. The statement "I know I am skinny" reflects an awareness of low body weight, which, in the context of anorexia nervosa, might indicate a distorted body image and an unhealthy focus on being underweight.
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View Related questions
Correct Answer is A
Explanation
Rationale:
A. Cognitive behavioral therapy (CBT) is a noninvasive, evidence-based treatment for depression. It helps clients identify and change negative thought patterns and behaviors that contribute to their depression.
B. Deep-brain stimulation is an invasive procedure used for treatment-resistant depression and other neurological conditions.
C. Electroconvulsive therapy (ECT) is a noninvasive but more intensive treatment often used for severe or treatment-resistant depression. However, it is generally not the first line of treatment.
D. Vagal nerve stimulation is a more invasive treatment, typically reserved for cases where other treatments have failed.
Correct Answer is C
Explanation
Rationale:
A. Denial involves refusing to accept reality but is not as characteristic of borderline personality disorder as splitting.
B. Reaction formation involves behaving in a manner opposite to one's true feelings, which is not the primary defense mechanism in borderline personality disorder.
C. Splitting is a common defense mechanism in borderline personality disorder where the client views people or situations as all good or all bad, potentially causing conflict within the healthcare team.
D. Regression involves reverting to earlier developmental stages but does not typically cause division among healthcare providers.