51) A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client's care?

Mental health counselor

Nutritional therapist

Physical therapist

Case manager

Occupational therapist

Answer and Explanation

Correct Answer : A,B,E

a. Anorexia nervosa involves complex psychological factors, so consulting with a mental health counselor can help address the client's psychological needs, such as body image issues, self-esteem, and underlying mental health conditions.
b. Nutritional therapists specialize in addressing eating disorders like anorexia nervosa by developing individualized meal plans, providing nutritional counseling, and helping clients establish healthy eating habits.
e. Occupational therapists can assist clients with anorexia nervosa in developing coping strategies for managing daily activities, such as meal planning and preparation, grocery shopping, and engaging in meaningful occupations that promote overall well-being.

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Correct Answer is A

Explanation

a. Decreased level of consciousness in a client with meningitis can indicate increased intracranial pressure or neurological deterioration, requiring immediate medical attention.
b. While an increased temperature is common in meningitis, it is not as urgent as a decreased level of consciousness in terms of requiring immediate intervention.
c. A generalized rash over the trunk may indicate a meningococcal rash, which is concerning but may not require immediate intervention compared to a decreased level of consciousness.
d. Photophobia is a common symptom of meningitis but does not indicate an acute change in the client's condition that requires immediate reporting.

A. Ask the client if she would like a sedative to help her relax B. Inform the client that she cannot leave without a discharge prescription from the provider C. Have the client sign the Against Medical Advice form D. Assign a security officer to the client's room until the provider can speak with the client

Correct Answer is C

Explanation

A. Offering a sedative is inappropriate and does not address the client’s right to refuse care. The nurse should focus on ensuring the client understands the risks of leaving.
B. Informing the client that she cannot leave without a discharge prescription is incorrect because an adult client has the legal right to leave against medical advice (AMA).
C. Having the client sign the Against Medical Advice (AMA) form is the appropriate action, as it documents that the client understands the risks of leaving and is doing so voluntarily.
D. Assigning a security officer to the client’s room is unnecessary unless there is a safety concern, which is not indicated in this scenario.

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51) A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client's care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is A

Explanation

A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department?

A nurse working in an emergency department is performing triage. To which of the following clients should the nurse assign priority?

A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

A nurse is supervising assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?

A nurse enters the hallway and discovers a visitor looking at a client’s medical information on a computer. Which of the following actions should the nurse take first?

A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?