Registered Practical Nurse (RPN) Practice Test

When assessing a newly admitted client with bulimia nervosa, what should the nurse be particularly watchful for?

1. Substance abuse

2. Depression

3. Obsessive-compulsive behaviors

4. Anxiety disorders

The correct answer is: Depression

Bulimia nervosa is an eating disorder characterized by cycles of binge eating followed by compensatory behaviors such as vomiting or excessive exercise. When assessing a newly admitted client with this condition, it is crucial for the nurse to be watchful for depression due to the high prevalence of co-occurring mood disorders in individuals with bulimia. Clients with bulimia often struggle with feelings of worthlessness, low self-esteem, and helplessness, which can significantly impact their mental and emotional well-being. The psychological distress associated with bulimia may lead to severe depressive episodes, affecting the client's overall treatment and recovery process. Recognizing and addressing depressive symptoms early in the treatment can facilitate a more comprehensive approach to care, potentially improving the client’s prognosis. Understanding the interplay between eating disorders and mental health is vital for effective nursing intervention. While substance abuse, obsessive-compulsive behaviors, and anxiety disorders can also be associated with bulimia nervosa, the immediate concern during an initial assessment should focus on identifying depressive symptoms that could hinder therapeutic engagement and recovery.