A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
Encouraging the patient to attend group therapy.
Monitoring for thoughts of self-harm.
Preventing fluid and electrolyte imbalance.
Fostering feelings of self-respect.
The Correct Answer is C
A. Encouraging the patient to attend group therapy: While group therapy is important for long-term recovery and psychological support, it is not the immediate priority in acute care.
B. Monitoring for thoughts of self-harm: This is a critical aspect of care, but maintaining physical health through stabilizing fluid and electrolyte balance takes precedence due to the immediate life-threatening risks associated with anorexia nervosa.
C. Preventing fluid and electrolyte imbalance: Addressing fluid and electrolyte imbalances is the highest priority as these imbalances can lead to severe complications, including cardiac arrest, which is a primary concern in clients with anorexia nervosa.
D. Fostering feelings of self-respect: This goal is essential for long-term recovery, but it is secondary to immediate physical health concerns that could pose life-threatening risks.
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Related Questions
Correct Answer is B
Explanation
A. Searching the literature for a systematic review: Searching for systematic reviews is part of evidence retrieval but does not encompass the broader concept of TRIP, which focuses on applying research.
B. Applying strategies that aid in adoption of research in practice: TRIP involves implementing strategies to incorporate research findings into clinical practice, which aligns with this option.
C. Providing the results of research studies to practitioners: Simply providing research results does not address the broader process of translating and applying research into practice.
D. Conducting an integrative review of the literature: An integrative review involves summarizing existing research but does not focus on the application of research findings to practice.
Correct Answer is ["C","E"]
Explanation
A. Referring all errors in nursing judgment to state disciplinary boards: Nurse managers are responsible for addressing nursing errors appropriately within their organization and may involve disciplinary boards when necessary, but not all errors require such referral.
B. Verifying that attending physicians are properly licensed to provide care on patient care units: This responsibility typically falls under the purview of medical credentialing departments, not nurse managers.
C. Practicing within legal guidelines established under state law and nurse practice acts: Nurse managers must ensure their practice and that of their staff adheres to state laws and nurse practice acts to maintain legal and professional standards.
D. Creating an environment of severe consequences for nursing errors to ensure quality practice: A punitive approach can create a blame culture, which is counterproductive. A focus on education and system improvement is more effective.
E. Ensuring that nursing staff under their supervision are currently licensed to practice: Nurse managers are responsible for verifying that all nursing staff hold valid and current licenses to practice, ensuring compliance with regulatory requirements.
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