A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 3 interventions the nurse should plan to take.

Encourage the client to think positive thoughts.

Assist the client in distinguishing between anxiety and physical manifestations.

Provide relief measures for manifestations the client is experiencing.

Inform the client that nothing is medically wrong with them.

Suggest to the client's provider that multiple tests need to be performed.

Perform a lengthy exam of client's condition.

Answer and Explanation

Correct Answer : B,C,E

A. Encourage the client to think positive thoughts. While promoting positive thinking can be helpful, this approach may oversimplify the client's experience and does not address their anxiety or physical symptoms effectively.
B. Assist the client in distinguishing between anxiety and physical manifestations. This intervention is crucial as it helps the client understand the connection between their anxiety and physical symptoms. It can empower the client to better manage their feelings and reduce their fixation on health issues.
C. Provide relief measures for manifestations the client is experiencing. Addressing the client's physical symptoms, such as anxiety and stomach discomfort, is important for their overall well-being and can improve their quality of life.
D. Inform the client that nothing is medically wrong with them. This statement may dismiss the client's concerns and could lead to feelings of frustration or invalidation. It is important to listen to the client’s experiences without minimizing them.
E. Suggest to the client's provider that multiple tests need to be performed. Given the client's report of ongoing symptoms and concerns about their health, it is appropriate to recommend further evaluation to rule out any underlying medical issues. This ensures that the client feels heard and their concerns are taken seriously.
F. Perform a lengthy exam of the client's condition. Conducting a lengthy exam may not be necessary at this stage, especially in an outpatient setting. Instead, focusing on understanding the client's experience and addressing their concerns is more beneficial.

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Correct Answer is C

Explanation

A. "I don't eat because I do not like the taste of food." Clients with anorexia nervosa typically avoid food due to intense fears of weight gain and body image concerns rather than a dislike for taste. Their restrictive eating is driven by psychological distress rather than a simple aversion to flavor.
B. "I restrict myself to 2,000 calories per day." Individuals with anorexia nervosa usually consume significantly fewer calories than recommended daily amounts. A restriction of 2,000 calories per day is within normal dietary guidelines and does not reflect the extreme caloric limitation seen in this disorder.
C. "I have certain foods, like pizza, that cause me a lot of fear." Clients with anorexia nervosa often develop strong food-related anxieties, especially about high-calorie or "forbidden" foods. Fear of specific foods is a hallmark feature of the disorder, making this the expected statement.
D. "I don't bother to track the number of calories I eat in a week." Individuals with anorexia nervosa are typically obsessive about tracking their calorie intake, often meticulously counting every calorie consumed. This level of control is a defining characteristic of the disorder.

A. Diagnosis typically occurs after 40 years of age. B. The need for resources increases as the disease progresses into adulthood. C. Co-occurring mental health illnesses are rarely diagnosed. D. Life expectancy is greater than the general population.

Correct Answer is B

Explanation

A. Diagnosis typically occurs after 40 years of age. This statement is inaccurate; schizophrenia most commonly manifests in late adolescence to early adulthood, typically between the ages of 18 and 30.
B. The need for resources increases as the disease progresses into adulthood. As schizophrenia progresses, individuals often require additional support and resources, including therapy, medication management, and community services, to manage symptoms and improve functioning.
C. Co-occurring mental health illnesses are rarely diagnosed. This statement is not accurate; individuals with schizophrenia often have co-occurring mental health disorders, such as depression, anxiety, or substance use disorders, which can complicate treatment and management.
D. Life expectancy is greater than the general population. This statement is incorrect; individuals with schizophrenia generally have a reduced life expectancy compared to the general population, often due to factors such as higher rates of comorbid conditions, lifestyle factors, and suicide risk.

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A nurse is caring for a client in an outpatient clinic. Exhibits Select the 3 interventions the nurse should plan to take.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 3 interventions the nurse should plan to take.