A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

A client who has anorexia nervosa and expresses a fear of gaining weight

A client who has bipolar disorder and is exhibiting poor impulse control

A client who has schizophrenia and is exhibiting clang associations in their speech

A client who has Alzheimer's disease and is having difficulty remember names of family members

Answer and Explanation

The Correct Answer is B

A.   While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care.

B.   Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others.
C.   Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons.
D.   Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.

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Correct Answer is D

Explanation

A. Weighing the client every other day may contribute to increased anxiety and fixation on weight, which is not recommended for clients with binge eating disorder.
B. Remaining with the client for 1 hour after meals may not be feasible or practical and may not directly address the underlying issues associated with binge eating disorder.
C. Offering snacks when the client is hungry may not address the underlying psychological issues driving binge eating behavior and may inadvertently reinforce unhealthy eating patterns.

D. Planning a menu with the client promotes collaboration, empowers the client to make healthier food choices, and fosters a sense of control over their eating habits, which are important aspects of managing binge eating disorder.

A. The client relates that he is angry that the provider did not save his partner's life. B. The client frequently recalls negative experiences that occurred during his marriage. C. The client says he feels guilty about not spending more time with his partner. D. The client states that he is unable to eat more than once a day.

Correct Answer is D

Explanation

A. While anger is a common emotion in grief, the priority is addressing the client's inability to eat, which can have significant health implications.
B. Recalling negative experiences during the marriage may indicate unresolved issues but is not as immediately concerning as the client's inability to eat.
C. Feelings of guilt are common in grief, but the priority is addressing the client's physical health needs, particularly their inability to eat.
D. Changes in eating habits, such as being unable to eat more than once a day, can indicate maladaptive coping mechanisms or potential physical health concerns, making it the priority for the nurse to address.

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A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

Correct Answer is D

Explanation

A nurse is caring for an older adult client. Exhibits Complete the following sentence by using the list of options. Upon assessment, the nurse should recognize that the client is at risk for developing dropdownas evidenced by the client's dropdown

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A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?

A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

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