You suspect that the client you are assigned has bulimia nervosa. ...

[jace]

You suspect that the client you are assigned has bulimia nervosa. Which of the following assessment findings would provide the strongest clue?
 
  a. elevated vital signs
  b. weight gain
  c. erosion of dental enamel and salivary gland enlargement
  d. skin lesions on upper arms and enlargement of the liver

Question 2

A family is referred to the home care psychiatric nurse because of repeated arrests of their teenage son for dealing drugs. The family consists of the parents and their children: Joe, age 15, and Maryann, age 10 .
 
  During the nurse's first home visit, the family reported many concerns stemming from family members' impulsive spending habits. During the visit, there were several arguments between the parents. Joe (the 15-year-old son) left the meeting abruptly. Maryann (the 10-year-old daughter) constantly interrupted when other members of the family were speaking. There was little concern or discussion about the teenage son's potential jail term. The nurse assessed that the family has which of the following levels of differentiation? a. low
  b. medium
  c. moderate
  d. high

[kusterl]

Answer to Question 1

C
Erosion of dental enamel and salivary gland enlargement would be the strongest clue that the client has bulimia nervosa. Vomiting is the most common method of purging among people who are bulimic (although laxatives are also used). Frequent vomiting erodes the enamel on teeth and accelerates tooth decay. Also, enlargement of the salivary gland is common. Additionally, frequent vomiting and weight loss can disturb the electrolyte balance and also lead to heart arrhythmias.

Answer to Question 2

A
The nursing assessment would reveal that the family is at the low level of differentiation. Families at this level display emotion, act impulsively, have difficulty delaying gratification, cannot step back and analyze a situation before reacting, and cannot maintain intimate interpersonal relationships. The family referred to in the question tells the nurse that the family spends impulsively, Emotional outbursts consisted of the arguments between the parents and Joe leaving the session. Joe's behavior and Maryann's constantly interruption demonstrated their inability to delay gratification. The family's inability to recognize the severity of their son's potential jail term demonstrated the family's inability to understand the magnitude of their problems.

[jace]

Correct answers!

[kusterl]

Great! Please up vote