Author Question: A client diagnosed with bulimia nervosa has been attending a mental health clinic for several ... (Read 36 times)

BRWH · **on:** Jul 19, 2018

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should a nurse identify as an appropriate indicator of a positive client behavioral change?

1. The client gained two pounds in one week.
2. The client focused conversations on nutritious food.
3. The client demonstrated healthy coping mechanisms that decreased anxiety.
4. The client verbalized an understanding of the etiology of the disorder.

Question 2

A client is to undergo psychological testing. Which member of the interdisciplinary team should a nurse consult for this purpose?

1. The psychiatrist
2. The psychiatric social worker
3. The clinical psychologist
4. The clinical nurse specialist

honnalora · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The nurse should identify that a client who demonstrates healthy coping mechanisms to decrease anxiety indicates a positive behavioral change. Stress and anxiety can increase bingeing, which is followed by inappropriate compensatory behavior.

Answer to Question 2

3
Rationale: The nurse should consult with the clinical psychologist to obtain psychological testing for the client. Clinical psychologists can administer, interpret, and evaluate psychological tests to assist in the diagnostic process.