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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: This statement requires follow-up because pretending that hallucinations are real can reinforce the patient’s delusions and is not a therapeutic approach. It is important to acknowledge the patient’s experience without validating the hallucinations as real.
B: This statement is appropriate as it directly assesses the presence of hallucinations in a clear and straightforward manner.
C: This statement is also appropriate as it helps to understand how the patient is managing their symptoms and can guide further interventions.
D: Assessing for command hallucinations is crucial because these types of hallucinations can pose a risk to the patient or others if they involve harmful commands.
Correct Answer is ["C","D","E"]
Explanation
A: Exposing the client to frustrating scenarios intentionally is not a therapeutic approach and can exacerbate the client’s frustration and abusive behavior.
B: Seclusion should be used as a last resort and not as a primary strategy for managing verbal abuse. It can increase feelings of isolation and frustration.
C: Setting clear boundaries helps the client understand acceptable behavior and the consequences of verbal abuse. This approach promotes a structured and predictable environment.
D: Early intervention when the patient shows signs of frustration can prevent escalation to verbal abuse. Recognizing triggers and addressing them promptly is crucial in managing antisocial behavior.
E: Educating the client about the consequences of their actions and how staff will respond to verbal abuse helps in setting expectations and promoting accountability.
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