A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because It's too noisy." Which of the following actions should the nurse take?

Recommend that the client try to sleep during the day when it is quieter.

Keep conversations and activities to a minimum during the nighttime.

Turn on the client's television at night to cover up environmental noises.

Tell the client that they will eventually get used to people talking at night.

Answer and Explanation

The Correct Answer is B

A.   Encouraging the client to sleep during the day disrupts the natural sleep-wake cycle and may not address the underlying issue of noise disturbances at night.

B.   Minimizing conversations and activities during the nighttime promotes a quieter environment conducive to sleep, addressing the client's concern directly.
C.   Using a television to cover up noise may not address the root cause of the client's sleep disturbance and could interfere with sleep hygiene.
D.   Dismissing the client's concern and suggesting they will eventually get used to the noise does not address the immediate issue or offer practical solutions.

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Correct Answer is D

Explanation

A. Weighing the client every other day may contribute to increased anxiety and fixation on weight, which is not recommended for clients with binge eating disorder.
B. Remaining with the client for 1 hour after meals may not be feasible or practical and may not directly address the underlying issues associated with binge eating disorder.
C. Offering snacks when the client is hungry may not address the underlying psychological issues driving binge eating behavior and may inadvertently reinforce unhealthy eating patterns.

D. Planning a menu with the client promotes collaboration, empowers the client to make healthier food choices, and fosters a sense of control over their eating habits, which are important aspects of managing binge eating disorder.

A. Discuss the provider's goals for the client's care. B. Ask the client if the medication is causing adverse effects. C. Request the provider prescribe a second antipsychotic medication to the client. D. Tell the client they will be admitted to an inpatient care facility if they do not take the medication.

Correct Answer is B

Explanation

A. Discussing the provider's goals for the client's care may be helpful but does not directly address the client's reported non-adherence or potential barriers to medication compliance.
B. Asking the client if the medication is causing adverse effects allows the nurse to assess for potential reasons why the client is not taking the medication regularly, such as side effects or discomfort, and address those concerns.
C. Requesting a second antipsychotic medication without addressing the client's reasons for non- adherence may not effectively improve medication compliance and could increase the risk of adverse effects or drug interactions.
D. Threatening the client with admission to an inpatient care facility is coercive and may not address the underlying reasons for non-adherence, potentially worsening the therapeutic
relationship and trust.

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A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because It's too noisy." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Correct Answer is B

Explanation

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