A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

The client reports following various cooking blogs.

The client's potassium level is 3.2 mEq/L.

The client states that she knows she can't be perfect.

The client's current BMI is 14.

Answer and Explanation

The Correct Answer is C

A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan? The correct answer is choice C: The client states that she knows she can't be perfect.

Choice A rationale:

The client reports following various cooking blogs. Following cooking blogs does not necessarily indicate adherence to an anorexia nervosa treatment plan. The client might still engage in disordered eating behaviors while having an interest in cooking.

Choice B rationale:

The client's potassium level is 3.2 mEq/L. A potassium level of 3.2 mEq/L is below the normal range (3.5-5.0 mEq/L) and indicates electrolyte imbalance. This finding suggests inadequate adherence to the treatment plan, as it may result from continued restrictive eating.

Choice D rationale:

The client's current BMI is 14. A BMI of 14 is significantly below the normal range and is indicative of severe malnutrition. It suggests non-adherence to the treatment plan and ongoing weight loss, which is common in anorexia nervosa.

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Correct Answer is B

Explanation

Choice A rationale:

Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole is primarily used to treat conditions like schizophrenia and bipolar disorder and does not directly affect thyroid function.

Choice B rationale:

Crohn's disease is a contraindication for aripiprazole therapy. Aripiprazole has been associated with an increased risk of gastrointestinal adverse effects, including nausea, vomiting, and constipation. In individuals with Crohn's disease, these symptoms may exacerbate the condition or lead to complications.

Choice C rationale:

Seizure disorder is not a contraindication for aripiprazole therapy. Aripiprazole has a relatively lower risk of causing seizures compared to some other antipsychotic medications. However, caution is still advised when using aripiprazole in individuals with a seizure disorder.

Choice D rationale:

Asthma is not a contraindication for aripiprazole therapy. Aripiprazole is not known to exacerbate asthma symptoms. It is important to monitor and manage any adverse effects in patients with asthma, but it is not a direct contraindication.

A. The father who intervenes whenever the siblings argue. B. The mother who expresses hostility toward her spouse. C. The adolescent daughter who attempts to dominate the discussion. D. The adolescent son who refuses to share personal feelings.

Correct Answer is C

Explanation

A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer? The correct answer is choice C. The adolescent daughter who attempts to dominate the discussion.

Choice A rationale:

The father who intervenes whenever the siblings argue does not necessarily fit the role of a monopolizer. While his intervention may affect the dynamics, it may not be an attempt to monopolize the discussion. His actions could be aimed at conflict resolution.

Choice B rationale:

The mother who expresses hostility toward her spouse also does not fit the role of a monopolizer. Expressing hostility is a different issue and does not necessarily mean she's monopolizing the discussion.

Choice C rationale:

The adolescent daughter who attempts to dominate the discussion is likely acting as the monopolizer. In family dynamics, a monopolizer is someone who seeks to control and dominate the conversation, often not allowing others to express their thoughts or opinions. This behavior can disrupt effective communication within the family.

Choice D rationale:

The adolescent son who refuses to share personal feelings is not acting as a monopolizer. While his behavior may affect communication, it is different from actively dominating the discussion.

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A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Correct Answer is B

Explanation

A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?

Correct Answer is C

Explanation

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