Which of the following statements by a client would reflect a ...

[Yolanda]

Which of the following statements by a client would reflect a turning point?
 
  1. This was difficult for me, but I have learned how to manage myself in my new job.
  2. If only they would give me another chance, I know I could do better.
  3. I will get them for this.
  4. I guess I deserved this. I was not a great employee.

Question 2

The client is diagnosed with bulimia nervosa. What is the most appropriate nursing intervention that focuses on purging behaviors?
 
  1. Provide frequent small meals.
  2. Weigh the client after eating.
  3. Observe the client for at least one hour after meals.
  4. Have the nurse eat with the client.

[Li Jun]

Answer to Question 1

1
Rationale: Acknowledging it has been difficult but the client has learned to manage in a new job demonstrates that the client has reached a turning point and may learn from his or her experience. Thoughts of revenge, resignation, or unrealistic expectations of change do not necessarily reflect a turning point.

Answer to Question 2

3
Rationale: Observe the client for at least one hour after meals to prevent purging. Eating with the client, weighing the client after eating, or providing frequent meals are not as effective as observation after meals.

[Yolanda]

Thanks for the timely response, appreciate it

[bblaney]

Gracias!