During an assessment, a client tells the nurse that she can't ...

[genevieve1028]

During an assessment, a client tells the nurse that she can't stand her mother and does whatever she wants me to do because the client can't do anything right anyway.
 
  The nurse uses this information to determine which item during the client assessment?
  A) Personal identity
  B) Role performance
  C) Self-esteem
  D) Body image

Question 2

A college student tells the nurse about being out of control with eating. The client states, I am trying to keep my weight down so my mom does not call me fat. I make myself throw up after eating.
 
  Based on this data, which disorder does the nurse use when planning care for this client?
  A) Binge-eating
  B) Anorexia nervosa
  C) Bulimia
  D) Purging disorder

[ApricotDream]

Answer to Question 1

Answer: C

The client is critical of her mother, verbalizes feelings of helplessness by saying that she does whatever her mother wants her to do, and is critical of self by saying she cannot do anything right. These findings help the nurse assess the client's self-esteem. Role performance would be assessed by asking the client about the different roles held and the satisfaction with each of the roles. Body image would be assessed by asking the client how she feels about her appearance. Personal identity would be assessed by asking the client to describe personal characteristics and self-concept.

Answer to Question 2

Answer: C

In bulimia, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with the binge-eating disorder. In the purging disorder, purging is done without the ingestion of food beforehand.