NCLEX-RN · Question #677
A client suspected of having anorexia nervosa is placed on bed rest with an IV infusion and a high-carbohydrate liquid diet. Within 72 hours, the results of her lab work show a return to normal…
The correct answer is A. Her lack of internal awareness about the outcome of the behavior. (A) Indirect self-destructive behavior such as that seen in anorexia nervosa is characterized by the client's lack of insight and the awareness that the outcome of the dieting, exercising, and weight loss will ultimately result in death if uninterrupted. (B) Although the client…
Question
A client suspected of having anorexia nervosa is placed on bed rest with an IV infusion and a high-carbohydrate liquid diet. Within 72 hours, the results of her lab work show a return to normal limits. She is transferred to the psychiatric service for further treatment. A behavior modification plan is initiated. Three days after her transfer, the client tells the nurse, "I haven't exercised in 6 days. I won't be eating lunch today." This statement by her most likely reflects:
Options
- AHer lack of internal awareness about the outcome of the behavior
- BIncreased knowledge about personal exercise plans
- CA manipulative technique to trick the nurse into allowing her to miss a meal
- DA true desire to stay fit while in the hospital
How the community answered
(26 responses)- A65% (17)
- B4% (1)
- C12% (3)
- D19% (5)
Explanation
(A) Indirect self-destructive behavior such as that seen in anorexia nervosa is characterized by the client's lack of insight and the awareness that the outcome of the dieting, exercising, and weight loss will ultimately result in death if uninterrupted. (B) Although the client is knowledgeable about exercise, knowledge about the balance between nutrition, exercise, and rest is absent. (C) The client's level of denial and lack of awareness disallow this behavior as a manipulative (D) The client's illness-maintaining behaviors are inconsistent with fitness.
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