A mental health nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 16.7. Which of the following actions should the nurse take? (Select all that apply.)
Monitor the client's weight daily
Allow the client to choose the meals she will eat
Allow the client to practice strenuous exercises
Stay with the client during meals and for 2 hrs after meals
Provide the client with small meals frequently.
Correct Answer : A,E
The correct answer is choice A and E.
Choice A rationale:
Monitoring the client’s weight daily is crucial in managing anorexia nervosa. It helps track the client’s progress and ensures that any significant weight changes are promptly addressed.
Choice B rationale:
Allowing the client to choose their meals can be counterproductive. Clients with anorexia nervosa may make choices that do not support their nutritional needs, potentially exacerbating their condition.
Choice C rationale:
Allowing the client to practice strenuous exercises is not advisable. Strenuous exercise can further deplete the client’s already low energy reserves and exacerbate malnutrition.
Choice D rationale:
Staying with the client during meals and for 2 hours after meals is incorrect. The recommended practice is to stay with the client for 30 minutes after meals to monitor for any purging behaviors.
Choice E rationale:
Providing the client with small meals frequently is beneficial. It helps in managing their nutritional intake without overwhelming them, which can be more acceptable and manageable for clients with anorexia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: Identify the required dose of lithium, which is 300 mg.
Step 2: Identify the available dose of lithium carbonate, which is 150 mg per capsule.
Step 3: Calculate the number of capsules needed using the formula: Number of capsules = Required dose ÷ Available dose.
Numberofcapsules=300 mg150 mg/capsule
\(Number\ of\ capsules = {300\ mg \over 150\ mg/capsule}\)
Step 4: Solve the equation.
Numberofcapsules=2 capsulesNumberofcapsules=2capsules
So, the nurse should administer 2 capsules per dose to achieve the required lithium dose of 300 mg.
Correct Answer is B
Explanation
Choice A rationale:
This response is dismissive and judgmental. It implies that the client's partner was wrong to share the news, and it does not acknowledge the client's feelings. This could make the client feel even more isolated and unsupported.
It's important to remember that the client is likely experiencing a range of emotions, including shock, sadness, anger, and anxiety. The nurse's role is to provide support and validation, not to judge the client's feelings or the actions of their partner.
Choice B rationale:
This response demonstrates empathy and understanding. It acknowledges the client's feelings and invites them to share more about their experience. This can help the client to feel heard and supported.
By verbalizing the client's feelings, the nurse is helping them to process the news and begin to cope with the situation. This can be a valuable first step in helping the client to develop a plan for moving forward.
Choice C rationale:
This response is dismissive and unhelpful. It does not acknowledge the client's feelings, and it offers no support or guidance. This could make the client feel even more hopeless and helpless.
While it may be true that there is not much the client can do about the situation immediately, the nurse can still offer support and help the client to explore their options.
Choice D rationale:
This response is premature and potentially unrealistic. The client may not be ready to contact their boss yet, and there is no guarantee that their job will be available to them. This could set the client up for disappointment and further distress.
It's important to allow the client to process the news and consider their options before taking any action. The nurse can help the client to identify potential resources and supports, and to develop a plan that is right for them.
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