Registered Practical Nurse (RPN) Practice Test

What combination has been shown to be the most effective for reducing binge eating and vomiting in bulimia nervosa patients?

1. Mindfulness and nutrition education

2. Pharmacological interventions and cognitive behaviour therapy

3. Individual counselling and peer support groups

4. Self-help books and relaxation techniques

The correct answer is: Pharmacological interventions and cognitive behaviour therapy

The combination of pharmacological interventions and cognitive behaviour therapy has been shown to be the most effective for reducing binge eating and vomiting in patients with bulimia nervosa. This effectiveness is largely due to the way cognitive behaviour therapy (CBT) addresses the underlying thought patterns and behaviours that contribute to the disorder. CBT helps patients to identify and challenge distorted beliefs around body image, weight, and food, which can significantly reduce the cycles of binge eating and purging. Pharmacological interventions, often involving selective serotonin reuptake inhibitors (SSRIs), can also play a crucial role in treating bulimia nervosa. These medications can help stabilize mood, reduce the frequency of binge-eating episodes, and alleviate anxiety and depression, which frequently co-occur with eating disorders. The combination of psychological and medical interventions can provide a comprehensive approach to treatment, leading to more successful outcomes in managing bulimia nervosa. In contrast, other options may offer benefits but do not have the same level of evidence supporting their effectiveness. For instance, mindfulness and nutrition education can aid in developing a healthier relationship with food and self, but they may not address the underlying psychological factors as comprehensively as CBT does. Individual counseling can be beneficial but may lack the structured approach that CBT offers