A client with anorexia nervosa is admitted to the unit. Which is the most appropriate short-term outcome?

The client will admit they have a fear of gaining weight or of persistent behaviors that interfere with weight gain.

The client will accept their own value and worth.

The client will identify potential alternative coping strategies.

The client will follow a nutritionally balanced diet.

Answer and Explanation

The Correct Answer is D

Choice A reason: Admitting fear of weight gain or behaviors interfering with weight gain shows psychological insight, which is important in anorexia nervosa treatment. However, as a short-term outcome, it is less critical than addressing immediate nutritional deficiencies to prevent organ damage and stabilize physical health.

Choice B reason: Accepting personal value and worth addresses the psychological aspects of anorexia nervosa, such as low self-esteem. While important for long-term recovery, it is not a short-term priority, as it does not directly address the immediate physical risks of malnutrition and weight loss.

Choice C reason: Identifying alternative coping strategies helps address emotional triggers for anorexia nervosa, supporting long-term recovery. However, in the short term, the priority is to restore nutritional status and prevent complications like cardiac failure, making this outcome less urgent than dietary adherence.

Choice D reason: Following a nutritionally balanced diet is critical in the short term for clients with anorexia nervosa to reverse malnutrition, restore weight, and prevent life-threatening complications like electrolyte imbalances or organ failure. This directly addresses the immediate physiological needs, making it the most appropriate short-term outcome.

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Correct Answer is B

Explanation

Choice A reason: Avoiding strong or aged cheese applies to MAOIs due to tyramine interactions causing hypertensive crises. Most antidepressants, like SSRIs or SNRIs, do not require this dietary restriction, as they do not affect monoamine oxidase, making this information incorrect.

Choice B reason: Antidepressants, such as SSRIs, typically require 4-6 weeks to achieve full therapeutic effects by increasing neurotransmitter levels (serotonin, norepinephrine) in the brain. This delay is critical for patient expectations and adherence, making this the most appropriate information to provide.

Choice C reason: Antidepressants can be safely combined with antianxiety agents, such as benzodiazepines, under medical supervision for co-occurring anxiety and depression. This statement is incorrect, as combination therapy is common and does not require avoidance, depending on the clinical context.

Choice D reason: Hypomania, weight gain, and increased sleep are possible side effects of some antidepressants (e.g., mirtazapine), but they are not universal. SSRIs may cause insomnia or weight loss, making this information less broadly applicable than the therapeutic delay information.

A. Impotence B. Hypotension C. Fever D. Constipation

Correct Answer is C

Explanation

Choice A reason: Impotence is a potential side effect of SSRIs due to serotonin’s effect on sexual function but is not a symptom of serotonin syndrome, a life-threatening condition involving excessive serotonin causing hyperthermia, agitation, and muscle rigidity, making this incorrect.

Choice B reason: Hypotension is not a primary symptom of serotonin syndrome, which involves serotonin excess leading to hyperthermia, tremors, and autonomic instability. Hypotension may occur secondary to severe cases but is not a hallmark symptom included in teaching.

Choice C reason: Fever is a key symptom of serotonin syndrome, caused by excessive serotonin stimulation leading to hyperthermia, muscle rigidity, and autonomic dysfunction. It’s a critical teaching point, as it signals a medical emergency requiring immediate intervention to prevent organ damage.

Choice D reason: Constipation is a side effect of some SSRIs due to serotonin’s effect on gastrointestinal motility but is not associated with serotonin syndrome. This condition involves acute neurological and autonomic symptoms, not chronic gastrointestinal issues, making this incorrect.

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A client with anorexia nervosa is admitted to the unit. Which is the most appropriate short-term outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a patient who has been prescribed an antidepressant for depression. Which of the following is the most appropriate information for the nurse to provide?

Correct Answer is B

Explanation

A client was admitted to the inpatient unit for depression and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which sign or symptom would the nurse include in the teaching session about serotonin syndrome?

Correct Answer is C

Explanation

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