A nurse is caring for a client who is newly admitted for the treatment of anorexia nervosa. Which of the following actions should the nurse plan to take?

Stay with the client for 15 min following meals

Weigh the client every day for the first week of acute care.

Schedule the client for a daily exercise program

Discuss food-related topics with the client during meals.

Answer and Explanation

The Correct Answer is A

A. Stay with the client for 15 min following meals: Staying with the client for 15 minutes after meals is a common practice to ensure that they do not engage in behaviors like purging or hiding food. It provides supervision and support to prevent the client from engaging in harmful activities.

B. Weigh the client every day for the first week of acute care: Weighing the client daily is not typically recommended, as it may increase anxiety and focus on weight. Weighing may be done periodically, but the frequency should be tailored to the client’s needs and the treatment.

C. Schedule the client for a daily exercise program: Exercise may be restricted or minimized in clients with anorexia nervosa, especially in the acute phase of treatment, as excessive exercise can worsen the condition and interfere with recovery.

D. Discuss food-related topics with the client during meals: Discussing food-related topics during meals may increase anxiety or pressure related to food. The focus during meals should be on providing a supportive, non-judgmental environment that encourages normal eating patterns.

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Correct Answer is A

Explanation

A. "Cognitive behavioral therapy can help you confront the beliefs you have about gambling": Cognitive behavioral therapy (CBT) helps clients identify and change maladaptive thought patterns and beliefs related to gambling, making it the most appropriate therapeutic approach.
B. "Systematic desensitization can help you decrease your desire for gambling": Systematic desensitization is typically used for anxiety or phobias and involves gradual exposure to a feared object or situation. It is not a primary treatment for gambling disorder.
C. "Gamblers Anonymous can help you replace irresponsible gambling with controlled gambling": Gamblers Anonymous focuses on abstinence from gambling, not controlled gambling. The goal is to help individuals stop gambling altogether.
D. "Interpersonal therapy can help you identify relationships that may have led to your gambling": While interpersonal therapy can be beneficial for improving relationships, gambling disorder is more effectively addressed through CBT, which focuses on changing the client’s thoughts and behaviors related to gambling.

A. Provide positive reinforcement when the child uses eye contact. B. Administer haloperidol to the child as prescribed. C. Administer tranquilizing medications if the child becomes frustrated. D. Instruct the child's guardian on the use of implosion therapy.

Correct Answer is A

Explanation

A. Provide positive reinforcement when the child uses eye contact: Positive reinforcement is an effective strategy for children with autism, especially for improving communication behaviors like eye contact. It encourages social interaction in a non-overwhelming way.
B. Administer haloperidol to the child as prescribed: Haloperidol is an antipsychotic used for certain symptoms in ASD, but its use should be carefully monitored. Medication is not the first line for addressing communication challenges in children with ASD.
C. Administer tranquilizing medications if the child becomes frustrated: Using tranquilizing medications as a first response is inappropriate. Non-pharmacological approaches, like behavior modification, should be prioritized to manage frustration and other symptoms.
D. Instruct the child's guardian on the use of implosion therapy: Implosion therapy, which involves exposing the child to anxiety-provoking situations, is not appropriate for children with ASD. It can increase distress and is not suitable for managing the child's needs.

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A nurse is caring for a client who is newly admitted for the treatment of anorexia nervosa. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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