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: Mild anxiety is characterized by slight restlessness or discomfort, with intact concentration and problem-solving abilities. The client’s symptoms, including rapid pacing, trembling, and inability to concentrate, indicate a more intense physiological and cognitive impairment, ruling out mild anxiety as the correct assessment.

Choice B reason: Panic-level anxiety involves extreme physiological arousal, with symptoms like rapid pacing, trembling, high-pitched speech, and inability to concentrate or problem-solve. These reflect a severe sympathetic nervous system response, overwhelming the client’s ability to function, making panic the most accurate description of the client’s state.

Choice C reason: Moderate anxiety involves noticeable discomfort, with some difficulty concentrating but retained problem-solving ability. The client’s severe symptoms, including high-pitched speech and restricted problem-solving, exceed this level, indicating a more intense state of anxiety that aligns with panic rather than moderate anxiety.

Choice D reason: Severe anxiety includes significant distress and impaired function but typically allows some concentration and problem-solving, unlike panic. The client’s extreme symptoms, such as inability to concentrate and restricted problem-solving, suggest a higher level of distress consistent with a panic state.

A. Assess for past history of suicide attempts B. Notify all members of the treatment team and place the client on suicide precautions C. Identify coping mechanisms D. Determine whether the client has a specific plan to die by suicide

Correct Answer is B

Explanation

Choice A reason: Assessing past suicide attempts provides risk context but is not the immediate priority. Current suicidal ideation requires urgent action to ensure safety, as past history does not address the acute risk of self-harm, making this secondary to implementing protective measures.

Choice B reason: Notifying the treatment team and initiating suicide precautions is the priority to ensure immediate safety. Suicidal ideation indicates a high risk of self-harm, requiring team coordination, constant observation, and environmental safety measures to prevent harm and ensure timely intervention.

Choice C reason: Identifying coping mechanisms is part of long-term suicide prevention but is not the priority during active suicidal ideation. Immediate safety measures, such as precautions and team notification, are critical to prevent harm before addressing coping strategies in therapy.

Choice D reason: Determining a specific suicide plan is important for risk assessment but is secondary to initiating immediate safety measures. Suicide precautions and team notification ensure the client’s safety first, allowing for subsequent detailed evaluation of the ideation’s specificity and intent.

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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

The nurse observes a client who is rapidly pacing, wringing their hands, and trembling. Their speech is high-pitched, they are unable to concentrate, and have restricted problem-solving. The nurse identifies the client’s anxiety level as:

Correct Answer is B

Explanation

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Correct Answer is B

Explanation

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