The goal of reducing or eliminating binge eating and purging behavior has been established for a patient with bulimia nervosa. What interventions should the nurse expect to be prescribed to help the patient achieve this goal?
Select all that apply.
1. nutritional counseling
2. cognitive?behavioral therapy
3. antidepressants
4. vitamin therapy
5. hospitalization
Correct Answer: 1, 2, 3
Nutritional counseling is directed at establishing a regular meal pattern and encouraging an appropriate amount of regular exercise. Cognitive?behavioral therapy focuses on the patients excessive concerns about weight, persistent dieting, and binge?purge behaviors. Many times patients binge eat and then purge because they are depressed. Using antidepressants may help the bulimic patient to prevent a relapse. Vitamin therapy and hospitalization are usually associated with anorexia nervosa.
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A patient who takes haloperidol (Haldol) 10 mg/day orally developed restlessness, agitation, and an inability to sit still
The nurse then administered a PRN dose of haloperidol 5 mg intramuscularly. One hour later the patient's symptoms were worse. What is the most likely explanation? a. The PRN medication has not yet taken effect. b. The patient needs an additional PRN dose of haloperidol to control the rising agitation. c. The patient was experiencing akathisia, which worsened after receiving the PRN medication. d. The nurse should consider an adjunctive dose of an antianxiety drug such as lorazepam (Ativan).
The most important reason for a student nurse to prepare adequately before providing patient care is to
a. be able to give the same safe care as a nurse. b. avoid arousing the anger of the instructor. c. maintain self-esteem by performing well. d. make a favorable impression on unit staff.
Which strategy would the nurse use during the termination component of the nurse-family relationship?
a. Increasing sessions with the nurse b. Making referrals when appropriate c. Providing a formative evaluation of the relationship d. Refusing additional communication with the family
A(n) ________ fraction represents parts of a whole.
A. improper B. equivalent C. mixed D. common