A nurse is counseling a client diagnosed with bulimia nervosa ...

[Mr. Wonderful]

A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration. Which explanation for this complication of bulimia nervosa, should the nurse provide?
 
  1. The emesis produced during purging is acidic and corrodes the tooth enamel.
  2. Purging causes the depletion of dietary calcium.
  3. Food is rapidly ingested without proper mastication.
  4. Poor dental and oral hygiene leads to dental caries.

Question 2

Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which statement regarding a client's home environment should a nurse associate with the development of anorexia nervosa?
 
  1. The home environment maintains loose personal boundaries.
  2. The home environment places an overemphasis on food.
  3. The home environment is overprotective and demands perfection.
  4. The home environment condones corporal punishment.

[pocatato]

Answer to Question 1

1
Rationale: The nurse should explain to the client diagnosed with bulimia nervosa that his or her teeth will eventually deteriorate, because the emesis produced during purging is acidic and corrodes the tooth enamel. Excessive vomiting may also lead to dehydration and electrolyte imbalance.

Answer to Question 2

3
Rationale: The nurse should assess that a home environment that is overprotective and demands perfection may be a major influence in the development of anorexia nervosa. In adolescence, distorted eating patterns may represent a rebellion against the parents viewed by the child as a means of gaining and remaining in control.

[Mr. Wonderful]

Thank you

[pocatato]

No problemo