A nurse is caring for a client who purges after eating. What intervention should the nurse implement?

Have the patient eat their meals in private.

Educate the patient on the long-term complications of purging.

Weigh the patient at the same time every morning.

Monitor the patient during and after meal times.

Answer and Explanation

The Correct Answer is D

A: Having the patient eat meals in private is not recommended as it can facilitate purging behaviors without supervision.

B: Educating the patient on the long-term complications of purging is important but not the primary intervention to prevent immediate purging behavior.

C: Weighing the patient at the same time every morning is a standard practice in managing eating disorders but does not directly address the purging behavior.

D: Monitoring the patient during and after meal times is crucial to prevent purging and ensure the patient is following the treatment plan.

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Correct Answer is D

Explanation

A: Using seclusion should be a last resort and only used when the patient poses an immediate threat to themselves or others. It is not a proactive strategy for managing frustration.

B: Ensuring the patient understands harsh consequences for violent episodes may not be effective in preventing aggression and can increase feelings of frustration and resentment.

C: Responding to emotional outbursts with negative reinforcement can escalate the situation and is not a therapeutic approach.

D: Creating a quiet and relaxing room provides a safe space for the patient to calm down and manage their emotions. This proactive strategy helps prevent escalation and supports the patient’s ability to cope with frustration

A. A client verbally provoking another patient who is paranoid B. A client making sexual advances toward a staff member C. A client telling staff that another staff member allows food in the bedrooms D. A client refusing medications to receive extra attention

Correct Answer is B

Explanation

A: While verbal provocation needs to be addressed, it does not pose an immediate risk to safety.
B: Making sexual advances toward a staff member requires immediate limit setting to protect the staff member and maintain a professional and safe environment.
C: Telling staff that another staff member allows food in the bedrooms is a boundary issue but does not require immediate limit setting.
D: Refusing medications to receive extra attention is a behavior that needs to be managed, but it does not pose an immediate risk to safety.

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A nurse is caring for a client who purges after eating. What intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is one way a nurse can help a patient respond to frustration without becoming aggressive or violent?

Correct Answer is D

Explanation

Which client situation requires the nurse to prioritize the implementation of limit setting?

Correct Answer is B

Explanation

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