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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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. .
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