A nurse is discussing the treatment plan with a client who is being admitted for treatment of severe anorexia nervosa. Which of the following statements by the client indicates that communication was effective?
"I will eat only when I feel hungry or want a snack."
"I will get to decide what foods will be on my tray each day."
"I will be allowed to exercise for up to an hour each day."
"I understand that meals are part of my treatment and I will try to complete them."
The Correct Answer is D
Choice A reason: This statement reflects continued disordered eating behavior and lack of insight into the structured nature of treatment for anorexia nervosa.
Choice B reason: Allowing the client full control over food choices may reinforce restrictive patterns and undermine nutritional goals. Meal plans are typically structured by the care team.
Choice C reason: Excessive exercise is contraindicated in anorexia treatment due to the risk of further weight loss and cardiac complications. Exercise is usually restricted.
Choice D reason: This statement shows understanding of the therapeutic role of nutrition and willingness to engage in treatment. It reflects effective communication and insight.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Standing directly in front of an aggressive client can be perceived as confrontational and escalate the situation. Staff should maintain a safe distance and non-threatening posture.
Choice B reason: Therapeutic touch is contraindicated in aggressive situations. Physical contact may provoke further aggression or be misinterpreted.
Choice C reason: Offering PRN medication is a safe and effective de-escalation strategy. It helps reduce agitation and prevent escalation when used appropriately.
Choice D reason: Bringing multiple staff members may overwhelm or intimidate the client. It should only be done if safety is compromised and intervention is necessary.
Correct Answer is ["D","E"]
Explanation
Choice A reason: Standing directly in front of an agitated client may escalate the situation by invading personal space and increasing perceived threat.
Choice B reason: Restraints should only be used as a last resort when there is imminent danger. De-escalation techniques should be attempted first.
Choice C reason: Speaking loudly can increase agitation. A calm, low tone is preferred to reduce tension.
Choice D reason: Identifying stressors helps the nurse understand triggers and tailor de-escalation strategies effectively.
Choice E reason: Using short, simple sentences reduces cognitive overload and promotes clarity during agitation.
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