A nurse is caring for a client whose partner died 6 months ago.
Which of the following findings is the nurse's priority?

The client relates that he is angry that the provider did not save his partner's life.

The client says he feels guilty about not spending more time with his partner.

The client frequently recalls negative experiences that occurred during his marriage.

The client states that he is unable to eat more than once a day.

Answer and Explanation

The Correct Answer is D

The correct answer is Choice D: The client states that he is unable to eat more than once a day.

Choice D rationale: Inability to eat more than once a day raises concerns about the client's nutritional status and overall physical well-being. Malnutrition can lead to several health complications, such as impaired immunity, muscle wasting, and poor wound healing. Additionally, the stress of grieving may exacerbate these effects. Ensuring proper nutrition is essential for supporting the client's physical health, which in turn influences their emotional resilience and ability to cope with the grieving process.

Choice A rationale: Anger towards healthcare providers or other individuals involved in the deceased person's care is a common reaction during the grieving process. While addressing emotional aspects of grief is essential, prioritizing physical health concerns, such as inadequate nutrition, takes precedence in nursing care.

Choice B rationale: Guilt is a common emotion experienced by individuals who are grieving, and in this case, the client's guilt revolves around not spending enough time with their partner. However, assessing and addressing physical health concerns, like poor nutritional intake, are of higher priority in the client's care plan.

Choice C rationale: Recalling negative experiences during the marriage is a part of the client's grieving process, which involves reflecting on various aspects of the relationship with the deceased partner. This psychological aspect is significant but does not take priority over addressing physical health concerns, such as inadequate nutrition.

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Correct Answer is B

Explanation

A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? The correct answer is choice B. Notify the client about designated times for meals.

Choice A rationale:

Weighing the client weekly for the first month is not an appropriate intervention in the initial care plan for a client with anorexia nervosa. While monitoring weight is essential, weekly weigh-ins may contribute to anxiety and distress in clients with eating disorders. The frequency of weigh-ins and the timing should be individualized based on the client's specific needs.

Choice B rationale:

Notifying the client about designated times for meals is a crucial intervention in the care plan for someone with anorexia nervosa. Establishing a structured meal schedule is important in promoting regular eating habits and preventing excessive exercise or other behaviors related to the disorder. Providing consistency in meal times can help the client regain control over their eating patterns.

Choice C rationale:

Negotiating with the client on how much weight she should gain each week is not a recommended approach in the initial stages of treatment for anorexia nervosa. Clients with this disorder often have distorted body image and unrealistic weight goals. It's important to set safe and appropriate weight gain goals based on the client's individual needs and in collaboration with a healthcare team, rather than negotiating arbitrary targets with the client.

Choice D rationale:

Decreasing the client's daily intake of fiber is not a suitable intervention in the care plan for anorexia nervosa. While dietary modifications may be necessary, reducing fiber intake can lead to constipation and other digestive issues. Any dietary changes should be made under the guidance of a registered dietitian or healthcare provider and should aim to restore a healthy and balanced diet.

A. Expressing frustration regarding unit rules. B. Reacting to the nurse as though she were his mother. C. Refusing to participate in group activities. D. Talking negatively about other staff members.

Correct Answer is B

Explanation

Choice A rationale:

Expressing frustration regarding unit rules is a possible behavior, but it doesn't directly relate to transference. It may reflect the client's general frustration or non-compliance with the rules, but it doesn't necessarily involve the transfer of feelings from a past relationship.

Choice C rationale:

Refusing to participate in group activities can be a behavior related to a personality disorder, but it's not specifically indicative of transference. It may be more related to the client's avoidance or social difficulties.

Choice D rationale:

Talking negatively about other staff members is another behavior that may occur in individuals with personality disorders, but it doesn't directly demonstrate transference. It could be a manifestation of their interpersonal difficulties or conflicts with staff.

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A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is caring for a client who has a personality disorder and is using transference to cope.Which of the following behaviors should the nurse expect?

Correct Answer is B

Explanation

A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms of schizophrenia? (Select all that apply.).

A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client.Which of the following actions should the nurse take?

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A nurse is caring for a client whose partner died 6 months ago.
Which of the following findings is the nurse's priority?