A nurse is working with a 17-year-old girl with bulimia nervosa. What experience in the nurse's own life could interfere most with nurse's objectivity?
1. The nurse has a poor body image.
2. The nurse has a friend who was bulimic.
3. The nurse was bulimic as an adolescent.
4. The nurse has never had any personal experience of bulimia.
Answer: 3
Explanation: The nurse must be careful to understand and mediate his or her own experiences as a child and as an adult; direct experience with a disorder such as bulimia can have a significant impact on the nurse's objectivity. A poor personal body image is important to acknowledge when treating someone with bulimia, but its impact is not as significant as having suffered from the disorder. Although knowing someone with bulimia can provide additional information about the condition, it is not likely to have a powerful impact on objectivity. Personal experience with a disorder is not a prerequisite to professional treatment of the problem.
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