A nurse is caring for a client who has an eating disorder. Which of the following actions should the nurse plan to take during the orientation phase of the nurse-client relationship?

Reinforce teaching about the eating disorder.

Discuss the timeline of the relationship.

Perform self-reflection activities.

Identify areas that are causing problems in the client's life.

Answer and Explanation

The Correct Answer is B

A. Reinforcing teaching about the eating disorder is more appropriate during the working phase of the nurse–client relationship. In the orientation phase, the priority is establishing trust and defining the structure of the relationship—not delivering extensive education. Teaching is most effective once rapport is established and the client feels safe and supported.

B. During the orientation phase, the nurse introduces themselves, explains their role, establishes professional boundaries, and discusses the purpose and timeline of the relationship. Clarifying how long the relationship will last and what the client can expect helps reduce anxiety and promotes trust. Clients with eating disorders often struggle with control, trust, and vulnerability, so structure and clear expectations are especially important.

C. Self-reflection is an internal process the nurse engages in to ensure therapeutic communication and professional behavior. While important, it is not a direct action taken with the client during the orientation phase.

D. Identifying specific life problems, triggers, and maladaptive behaviors occurs during the working phase, when the nurse and client begin actively addressing issues and implementing strategies for change.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Dissociative amnesia involves an inability to recall important personal information, usually related to trauma or stress. It affects memory, not motor or sensory function. Numbness of the hands would not be explained by dissociative amnesia.

B. Factitious disorder involves the intentional falsification or induction of physical or psychological symptoms to assume the sick role. There is no indication in this scenario that the client is intentionally producing symptoms.

C. Functional neurological symptom disorder (formerly called conversion disorder) involves neurological symptoms (e.g., numbness, weakness, paralysis, tremors) that are incompatible with known medical conditionsand are often triggered by psychological stress. The client’s numbness occurring specifically when driving to work suggests a stress-related neurological manifestation without an identifiable organic cause.

D. Depersonalization/derealization disorder involves persistent or recurrent feelings of being detached from oneself (depersonalization) or experiencing the environment as unreal (derealization). It does not typically cause focal neurological symptoms such as hand numbness.

A. Teach the client how to use relaxation techniques. B. Ensure the client is prescribed pain medication. C. Encourage the client to increase their intake of carbohydrates. D. Schedule the client to meet with their primary care provider weekly

Correct Answer is A

Explanation

A. Teaching relaxation techniquesis an appropriate nursing intervention for clients with somatic symptom disorder. These techniques, such as deep breathing, progressive muscle relaxation, or guided imagery, help clients manage stress and anxiety, which can exacerbate physical symptoms. Nonpharmacologic strategies are preferred because symptoms are often amplified by psychological factors, and the focus is on improving coping rather than treating underlying pathology that may not exist.

B. Prescribing pain medication is not the primary approachfor somatic symptom disorder unless there is a clearly documented medical indication. Overuse of analgesics can reinforce symptom focus and lead to dependency or medication overuse complications.

C. Increasing carbohydrate intake is unrelated to the treatment of somatic symptom disorder. Nutritional changes should be guided by medical needs, not by the psychological manifestations of the disorder.

D. Frequent unscheduled or weekly visits to the primary care provider can reinforce health preoccupation and illness behavior, which is counterproductive in somatic symptom disorder. Instead, structured and scheduled visits should be planned to reduce unnecessary medical consultations while providing reassurance and monitoring.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has an eating disorder. Which of the following actions should the nurse plan to take during the orientation phase of the nurse-client relationship?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

Correct Answer is C

Explanation

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

Correct Answer is A

Explanation

A community health nurse is preparing an educational activity on Alzheimer's disease. Which of the following risk factors should the nurse include as the greatest risk for this disease?

A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?

A nurse is caring for a client who repeatedly reports episodes of paralysis of the arms. The client has received a medical work up and there is no identifiable cause. The nurse understands that the client will likely be diagnosed with which of the following disorders?

A nurse is assisting with providing an educational program about eating disorders to the local community. The nurse should include that which of the following groups has an increased risk for developing an eating disorder?

A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

A nurse is caring for a client who was admitted to the emergency department with a blood alcohol content of 0.15 mg/dL. Which of the following conclusions should the nurse make about the client's blood alcohol content?

A nurse has been confronted about stealing and taking drugs from the narcotics cart in the med room. The nurse has been reported to the board of nursing in their state. What is the likely initial outcome?