When teaching a patient with binge-purge bulimia, the nurse ...

[EY67]

When teaching a patient with binge-purge bulimia, the nurse should give priority to information about:
 
  a. self-monitoring of daily food and fluid intake.
  b. establishing the desired daily weight gain.
  c. symptoms of hypokalemia.
  d. self-esteem maintenance.

Question 2

A patient who recently attempted suicide talks with the nurse about wanting to take a walk on hospital grounds. The nurse responds by telling the patient, I will talk with the psychiatrist on your behalf.
 
  Select the accurate analysis of this interaction.
  a. The nurse is behaving in an overly helpful way.
  b. The nurse is showing positive regard for the patient.
  c. The nurse is modeling healthy behaviors for the patient.
  d. The patient has manipulated the nurse into taking this action.

[Perkypinki]

Answer to Question 1

C
Hypokalemia results from potassium loss associated with vomiting. Physiological integrity can be maintained if the patient can self-diagnose potassium deficiency and adjust the diet or seek medical assistance. Daily weight gain may not be desirable for a patient with bulimia nervosa. Self-esteem is an identifiable problem but is of lesser priority than the risk for hypokalemia.

Answer to Question 2

A
Being overly helpful is a classic example of role boundary blurring. The nurse's response does not reflect the modeling of healthy behavior. There is no data to indicate the patient has manipulated the nurse.

[EY67]

Thanks for the timely response, appreciate it

[Sarahjh]

Wow, this really help