A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect?

Cold extremities.

Diarrhea.

Tooth erosion.

Lanugo.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

Cold extremities are a common finding in individuals with anorexia nervosa due to poor circulation and reduced body fat, which impairs the body's ability to maintain normal temperature.

Choice B rationale

Diarrhea is not typically associated with anorexia nervosa. Instead, individuals with this disorder often experience constipation due to restrictive eating and decreased bowel movements.

Choice C rationale

Tooth erosion is a common finding in individuals with anorexia nervosa, particularly those who engage in self-induced vomiting, as stomach acid erodes the enamel on teeth.

Choice D rationale

Lanugo, or fine, soft body hair, is a common finding in individuals with anorexia nervosa as the body attempts to conserve heat due to loss of insulating body fat.

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Correct Answer is D

Explanation

Choice A rationale

Relaxation exercises can help manage anxiety but are not the immediate first action required for a newly admitted client.

Choice B rationale

Explaining response prevention is useful for OCD treatment but isn't the first priority upon admission.

Choice C rationale

Administering medication can alleviate anxiety symptoms but isn't the first action that establishes a comprehensive assessment.

Choice D rationale

Calculating the Hamilton Rating Scale for Anxiety provides an initial assessment of the client's anxiety severity, guiding further interventions.

A. Low tolerance for frustration. B. Absence of impulsive behaviors. C. Involved in community activities. D. Submissive personality.

Correct Answer is A

Explanation

Choice A rationale

Low tolerance for frustration is a risk factor for becoming a perpetrator of child abuse as it can lead to impulsive and aggressive behaviors.

Choice B rationale

Absence of impulsive behaviors is typically a protective factor, not a risk factor, for perpetrating child abuse.

Choice C rationale

Involvement in community activities is a protective factor and not a risk factor for child abuse perpetration.

Choice D rationale

A submissive personality is not a recognized risk factor for becoming a perpetrator of child abuse. Perpetrators often exhibit controlling and aggressive behaviors. .

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A nurse is collecting data from a client who has anorexia nervosa.Which of the following findings should the nurse expect?

Nursing Test Bank

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A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect?