A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night.”. Which of the following responses should the nurse make?

"Lots of people feel ashamed to tell their secrets.”.

"You will feel better if you tell me what you did last night.”.

"Let's discuss what you feel embarrassed about.”.

"You shouldn't feel embarrassed to talk to me.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The response, "Lots of people feel ashamed to tell their secrets," is not the most therapeutic option because it does not directly address the client's need to discuss their feelings or concerns. It does offer some empathy but falls short in terms of encouraging communication and understanding.

Choice B rationale:

The response, "You will feel better if you tell me what you did last night," may come across as too direct and pressuring, which can be counterproductive in building trust with the client. It may make the client feel even more embarrassed or uncomfortable.

Choice D rationale:

The response, "You shouldn't feel embarrassed to talk to me," attempts to reassure the client but may invalidate their feelings and is not as therapeutic as the correct choice. It's important to acknowledge the client's emotions and provide them with a safe space to open up.

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Correct Answer is C

Explanation

Choice A rationale:

Planning a menu with the client is a good practice for individuals with eating disorders. However, remaining with the client after meals is crucial to address the immediate concerns related to a binge eating disorder. Binge eating disorder is characterized by consuming large amounts of food in a short period, and the nurse needs to monitor the client for potential complications or behaviors after meals.

Choice B rationale:

Weighing the client every other day is not the most appropriate action for a client with a binge eating disorder. While weight monitoring can be important, it does not directly address the behavioral aspects of the disorder, such as episodes of overeating. It is more critical to provide support and monitoring immediately after meals to prevent or address binge episodes.

Choice D rationale:

Offering snacks when the client is hungry is a generally healthy practice. However, in the context of binge eating disorder, the focus should be on structured meal times and monitoring for potential episodes of overeating. Offering snacks whenever the client is hungry may not be the best approach for managing this specific eating disorder. .

A. Hypertension. B. Neuropathy. C. WBC Count 13,000/mm. D. BUN 16 mg/dL. .

Correct Answer is C

Explanation

Choice A rationale:

Hypertension, while a medical condition, is not a direct risk factor for delirium. Delirium is typically associated with factors such as infection, medication side effects, metabolic imbalances, or acute changes in medical conditions, rather than chronic conditions like hypertension.

Choice B rationale:

Neuropathy is also not a direct risk factor for delirium. Delirium is more commonly associated with acute changes in neurological status or conditions that affect brain function.

Choice C rationale:

A white blood cell (WBC) count of 13,000/mm³ is an elevated count and may indicate an underlying infection or inflammation. Infection and inflammation are common causes of delirium, making an elevated WBC count a potential risk factor for developing delirium.

Choice D rationale:

A blood urea nitrogen (BUN) level of 16 mg/dL is slightly elevated but is not a direct risk factor for delirium. Delirium is more often associated with metabolic imbalances, electrolyte abnormalities, or acute changes in kidney function. A BUN level of 16 mg/dL alone is not a major contributor to delirium. .

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A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night.”. Which of the following responses should the nurse make?

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 C

Explanation

A nurse in a long-term care facility is caring for a client.The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

Correct Answer is C

Explanation

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation.Which of the following assessment findings in the client's history should the nurse report to the provider?

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A nurse is educating a patient with an eating disorder about the treatment options.Which statement made by the patient indicates a need for further teaching?

A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

A nurse is reviewing the laboratory report of a client who has a panic disorder and is taking clonazepam.Which of the following laboratory results should the nurse report to the provider?

A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation.The nurse should encourage the client to participate in which of the following groups?