A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?

Weigh the client weekly for the first month.

Notify the client about designated times for meals.

Negotiate with the client how much weight she should gain each week.

Decrease the client's daily intake of fiber.

Answer and Explanation

The Correct Answer is B

A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? The correct answer is choice B. Notify the client about designated times for meals.

Choice A rationale:

Weighing the client weekly for the first month is not an appropriate intervention in the initial care plan for a client with anorexia nervosa. While monitoring weight is essential, weekly weigh-ins may contribute to anxiety and distress in clients with eating disorders. The frequency of weigh-ins and the timing should be individualized based on the client's specific needs.

Choice B rationale:

Notifying the client about designated times for meals is a crucial intervention in the care plan for someone with anorexia nervosa. Establishing a structured meal schedule is important in promoting regular eating habits and preventing excessive exercise or other behaviors related to the disorder. Providing consistency in meal times can help the client regain control over their eating patterns.

Choice C rationale:

Negotiating with the client on how much weight she should gain each week is not a recommended approach in the initial stages of treatment for anorexia nervosa. Clients with this disorder often have distorted body image and unrealistic weight goals. It's important to set safe and appropriate weight gain goals based on the client's individual needs and in collaboration with a healthcare team, rather than negotiating arbitrary targets with the client.

Choice D rationale:

Decreasing the client's daily intake of fiber is not a suitable intervention in the care plan for anorexia nervosa. While dietary modifications may be necessary, reducing fiber intake can lead to constipation and other digestive issues. Any dietary changes should be made under the guidance of a registered dietitian or healthcare provider and should aim to restore a healthy and balanced diet.

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Correct Answer is A

Explanation

The correct answer is Choice A: Consult the client.

Choice A rationale:

Consulting the client is the most appropriate action to respect their privacy and autonomy. It ensures that the client has control over their health information and consents to any disclosures.

Choice B rationale:

Consulting the client's family is not appropriate without the client's explicit permission, as it may violate the client's right to confidentiality.

Choice C rationale:

Contacting the provider may be helpful for clinical guidance, but they cannot disclose the client's health information without the client's consent.

Choice D rationale:

Contacting the facility legal department would be necessary in specific legal situations, but the first step should be to involve the client in the decision-making process to respect their rights.

A. Denial. B. Compensation. C. Rationalization. D. Displacement.

Correct Answer is D

Explanation

Answer is: d. Displacement.

Explanation: Displacement is a defense mechanism in which an individual redirects their emotions, feelings, or impulses from their original source to a less threatening target. In this case, the client is redirecting his anger toward his partner onto the nurse, making displacement the defense mechanism being demonstrated.

Choice a. is wrong because denial involves refusing to accept or acknowledge reality, often to protect oneself from emotional distress. There is no indication that the client is denying his situation or feelings in this scenario.

Choice b. is wrong because compensation involves making up for perceived weaknesses or deficiencies in one area by excelling in another. The client's behavior does not reflect an attempt to compensate for any shortcomings.

Choice c. is wrong because rationalization is a defense mechanism where an individual justifies their actions or feelings using seemingly logical reasons to avoid self-criticism or emotional discomfort. The client's behavior in this scenario does not involve providing any logical explanation for his anger.

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A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?

Correct Answer is A

Explanation

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Correct Answer is D

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