. 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?
A. The client gains 2 pounds in 1 week.
B. The client focuses conversations on nutritious food.
C. The client demonstrates healthy coping mechanisms that decrease anxiety.
D. The client verbalizes an understanding of the etiology of the disorder.
ANS: C
The nurse should identify that when a client uses healthy coping mechanisms that decrease anxiety, positive behavioral change is demonstrated. Stress and anxiety can increase bingeing, which is followed by inappropriate compensatory behaviors.
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