A nurse is caring for a client who has a binge eating disorder.
Which of the following actions should the nurse take?
Plan a menu with the client.
Weigh the client every other day.
Remain with the client for 1 hr after meals.
Offer snacks when the client is hungry.
The Correct Answer is C
Choice A rationale:
Planning a menu with the client is a good practice for individuals with eating disorders. However, remaining with the client after meals is crucial to address the immediate concerns related to a binge eating disorder. Binge eating disorder is characterized by consuming large amounts of food in a short period, and the nurse needs to monitor the client for potential complications or behaviors after meals.
Choice B rationale:
Weighing the client every other day is not the most appropriate action for a client with a binge eating disorder. While weight monitoring can be important, it does not directly address the behavioral aspects of the disorder, such as episodes of overeating. It is more critical to provide support and monitoring immediately after meals to prevent or address binge episodes.
Choice D rationale:
Offering snacks when the client is hungry is a generally healthy practice. However, in the context of binge eating disorder, the focus should be on structured meal times and monitoring for potential episodes of overeating. Offering snacks whenever the client is hungry may not be the best approach for managing this specific eating disorder. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Asking the client to describe what makes them feel stressed is important for understanding their situation, but it is not the immediate priority when there is concern about self-harm.
Choice B rationale:
Inquiring about the client's past coping mechanisms is relevant, but it should not be the first question when there is a potential risk of self-harm.
Choice C rationale:
Discussing what the client is experiencing is important, but it is not the primary concern when there is a risk of self-harm.
Choice D rationale:
Asking the client if they are thinking of harming themselves is the immediate priority in this situation. It helps assess the client's safety and the need for further intervention. Please let me know if you have more questions or need further explanations. .
Correct Answer is B
Explanation
Choice A rationale:
A client with a history of dependent personality disorder does not necessarily require close placement to the nurse's station for safety reasons. The primary concern in this case is not related to Alzheimer's or potential wandering, so placing this client closer to the nurse's station is not warranted.
Choice B Reason: A client who has moderate-stage Alzheimer’s disease.This client should be placed closest to the nurse’s station because individuals with moderate-stage Alzheimer’s disease may experience confusion, memory loss, and wandering, which can lead to safety concerns. Close proximity to the nurse’s station allows for better supervision and prompt intervention.
Choice C rationale:
A client with schizotypal personality disorder may have unique care needs, but these typically do not require placement close to the nurse's station. The primary concern in this case is not related to the safety or wandering associated with Alzheimer's disease.
Choice D rationale:
A client with a history of alcohol use disorder may require monitoring and support but does not necessarily need to be placed close to the nurse's station solely based on this history. The primary concern is not related to Alzheimer's disease or safety due to wandering. In a healthcare setting, clients with Alzheimer's disease often experience confusion and may wander, creating a risk of harm to themselves. Placing a client with moderate-stage Alzheimer's disease close to the nurse's station allows for better supervision and prompt response to any safety concerns. Therefore, it is the most appropriate choice for close placement. .
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