A nurse is facilitating a support group for clients who have anorexia nervosa. Which of the following client statements should the nurse investigate further?

"The amount of food I eat could affect my menstrual cycle."

"I am gaining about 2 pounds per week."

"I realize my body will never be perfect."

"I took a laxative for constipation yesterday."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Understanding the relationship between food intake and the menstrual cycle is a relevant topic for individuals with anorexia nervosa.

Choice B rationale:

Rapid weight gain of 2 pounds per week can be concerning and may indicate an unhealthy pattern or behaviors related to the eating disorder.

Choice C rationale:

Recognizing that the body will never be perfect is a positive and realistic perspective that can contribute to a healthier mindset in individuals with anorexia nervosa.

Choice D rationale:

Taking a laxative for constipation is not uncommon among individuals with eating disorders, but the statement doesn't necessarily raise immediate concern compared to the rapid weight gain mentioned in choice B.

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Correct Answer is B

Explanation

Choice A rationale:

Frequent cervical examinations may increase the risk of introducing infection or causing additional bleeding. Cervical examinations are not a priority in managing placental abruption.

Choice B rationale:

Placental abruption can lead to significant blood loss, and the client may require intravenous fluids and blood products to maintain hemodynamic stability. Initiating an IV with an 18-gauge catheter allows for rapid administration of fluids and blood products if needed.

Choice C rationale:

Monitoring fetal heart rate hourly is important, but addressing the mother's hemodynamic stability with IV fluids takes priority.

Choice D rationale:

Vital signs should be obtained more frequently than every 4 hours due to the risk of ongoing blood loss.

A. "Wait until your child begins school to engage them in social activities." B. "Interact with your child according to their developmental age." C. "Devote more of your child's time to learning than to playing." D. "Teach your child several steps of a task at one time."

Correct Answer is B

Explanation

Choice A rationale:

Waiting until school age to engage in social activities is not appropriate, as social interaction is important for a toddler's development.

Choice B rationale:

Interacting with the child according to their developmental age is important for fostering appropriate growth and development.

Choice C rationale:

Devoting more time to learning than playing may not be appropriate, as play is an essential component of early childhood development.

Choice D rationale:

Teaching several steps of a task at one time may be overwhelming for a toddler with a cognitive delay. Instructions should be simple and broken down into manageable steps.

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A nurse is facilitating a support group for clients who have anorexia nervosa. Which of the following client statements should the nurse investigate further?

Nursing Test Bank

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