Exam 29: Self

Which of the following personality disorders is characterized by an inability to trust others; a rigid worldview that often conspiratorial in nature; and the belief that other people's actions are based on ulterior motives?

The nurse is providing care to a preadolescent client who was recently diagnosed with bulimia nervosa. The client's mother states, "I am very weight and exercise conscious, and I try to ensure my children stay in shape and eat well so that they can succeed in life. I have no idea how my daughter developed bulimia. She must have inherited a genetic tendency for bulimia from her birth mother." Based on this data, which conclusion by the nurse is the most appropriate?

During a routine physical examination, a preadolescent client tells the nurse, "I am too fat, and I'm going to do whatever I can to look like the girls on the cover of fashion magazines." The nurse should plan care for this client based on which risk factor for eating disorders?

A nurse who works in the emergency department is assessing a client with bulimia nervosa. Which assessment findings indicate that the client is dehydrated? Select all that apply.

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 doesn't call me fat. Usually, I make myself throw up after eating." Based on this data, the nurse should plan on providing care for which of the following disorders?

In an adult client, the presence of lanugo and dry, brittle nails is suggestive of which of the following conditions?

The nurse is providing care to an adolescent client who has a history of vomiting after eating. Which diagnostic tests should the nurse anticipate when providing care to this client? Select all that apply.

Which of the following manifestations would the nurse least likely observe in a client with a Cluster B personality disorder?

A client tells the nurse, "My mother spent many years in a mental institution, and my father would abuse me when my mother was not around." Based on this information, the client is at greatest risk for developing which of the following conditions?

A client who was admitted for treatment of a personality disorder is observed pulling another client's hair and pushing clients out of their chairs. What is the priority nursing intervention for this client?

A client is admitted with behavior consistent with borderline personality disorder. Which of the following interventions should the nurse anticipate for this client?

A student nurse is asked to recall the questions included in the SCOFF questionnaire. Which questions identified by the student nurse are appropriate? Select all that apply.

An older adult client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which action by the nurse would best assist this client?

The nurse is providing care to a client diagnosed with bulimia. The healthcare provider has prescribed medication to help decrease the client's binging and purging behavior. Which medication classification should the nurse include in the teaching plan for this client?

A client explains that she is experiencing high stress levels because her mornings are so hectic. She tells the nurse that before she arrives at work each morning, she needs to dress and feed her children, drop them off at daycare, and begin preparations for that evening's dinner. Based on this information, the nurse should anticipate that the client will require care related to which of the following issues?

During an assessment, a client tells the nurse that she "can't stand her mother." The client also says she does "whatever Mom wants me to do" because the client "can't do anything right anyway." The nurse should use this information when determining which of the following items during the client assessment?

A client tells the nurse that he feels pressure to spend every Sunday with his parents. However, the client's wife does not participate and stays at home waiting for the client to return. Which of the following elements is determining the client's self-concept?

An experienced nurse is teaching a student nurse about personality disorders in the older adult population. Which of the following statements by the student nurse would indicate a need for further education?

An experienced nurse practitioner is teaching a student nurse about feeding and eating disorders in the pediatric population. Which of the following statements from the student nurse indicates that more education is necessary?

Why is the presence of dental caries and enamel erosion more suggestive of bulimia nervosa than of anorexia nervosa?