A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?

Observe the client for 1 hr following meals.

Encourage the client to gain 2.27 kg (5 lb) per week.

Allow the client to exercise for less than 1 hr per day.

weigh the client in the morning every other day.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

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Correct Answer is B

Explanation

Choice A rationale:

Requesting an opportunity to discuss trauma might be indicative of the client's desire to process their experiences, but it's not a specific symptom of PTSD.

Choice B rationale:

Recurrent nightmares are a common symptom of PTSD, often related to the traumatic event.

Choice C rationale:

Indicating working extra hours is not a specific symptom of PTSD.

Choice D rationale:

Exhibiting diminished reflexes is not a typical symptom of PTSD.

A. Low dietary intake of fiber B. Prolonged use of steroids C. Insufficient intake of protein D. Family history of gallbladder disease

Correct Answer is A

Explanation

Choice A rationale:

Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.

Choice B rationale:

Prolonged use of steroids is not a primary risk factor for diverticular disease.

Choice C rationale:

Insufficient intake of protein is not a significant risk factor for diverticular disease.

Choice D rationale:

Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.

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A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?