The nurse knows that some patients with bulimia nervosa fulfill which need when purging?
1. Attention
2. Self-control
3. Powerlessness
4. Quest for perfection
Answer: 2
Explanation: While patients with eating disorders are plagued by low self-esteem and self-worth, which are dependent upon a quest for perfection of extreme thinness, they also struggle with the need to control how the body gains/loses weight and the type of body shape that they perceive to be acceptable. With this struggle for control, disordered eating patterns become evident. The perception of thinness and personal competence are linked to improved social status and self-regard. Purging fulfills the need for self-control, power, and relief from tension. Patients with bulimia nervosa are not seeking attention.
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The nurse is completing a heritage assessment with an older patient from a non-English-speaking culture. Which question would not be a part of this assessment?
1. Where was your mother born? 2. Did you live in an extended family? 3. Where did your father go to school? 4. Do you belong to a religious institution?
A patient develops ventricular tachycardia on the cardiac monitor. The patient says, "My heart is racing" as the nurse determines a rapid pulse is present. What is the nurse's priority intervention?
1. Call respiratory therapy to prepare a mechanical ventilator. 2. Draw blood for arterial blood gases. 3. Prepare for a change in intravenous fluid being administered. 4. Monitor the patient for loss of consciousness.
Hypertension can lead to which of the following?
a. Stroke and heart attack b. Parkinson's disease and multiple sclerosis c. Birth defects d. Deafness
The nurse is providing patient education about the application of transdermal estrogen. Which statement made by the patient best demonstrates understanding of the application of this medication? "I should apply this medication to my:"
a. waistline." b. abdomen." c. breast." d. posterior thigh."