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 B

Explanation

Choice A rationale:

Having several siblings is not a direct contributing factor to the development of conduct disorder. Conduct disorder is more associated with behavioral and social factors, not family size.

Choice B rationale:

The presence of the client's father in the home is an important factor in family dynamics that can contribute to the development of conduct disorder. This is because the involvement and presence of parents, especially fathers, play a significant role in a child's emotional and behavioral development. The absence of a father figure or an unstable family environment can increase the risk of conduct disorder.

Choice C rationale:

The fact that the client's mother has asthma is not directly related to the development of conduct disorder. Asthma is a physical health condition and is not typically associated with conduct disorder unless it affects the family's dynamics in a significant way.

Choice D rationale:

Being the oldest sibling is not necessarily a contributing factor for the development of conduct disorder. Conduct disorder is primarily associated with behavior and environmental factors, not birth order.

A. The client reports following various cooking blogs. B. The client's potassium level is 3.2 mEq/L. C. The client states that she knows she can't be perfect. D. The client's current BMI is 14.

Correct Answer is C

Explanation

A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan? The correct answer is choice C: The client states that she knows she can't be perfect.

Choice A rationale:

The client reports following various cooking blogs. Following cooking blogs does not necessarily indicate adherence to an anorexia nervosa treatment plan. The client might still engage in disordered eating behaviors while having an interest in cooking.

Choice B rationale:

The client's potassium level is 3.2 mEq/L. A potassium level of 3.2 mEq/L is below the normal range (3.5-5.0 mEq/L) and indicates electrolyte imbalance. This finding suggests inadequate adherence to the treatment plan, as it may result from continued restrictive eating.

Choice D rationale:

The client's current BMI is 14. A BMI of 14 is significantly below the normal range and is indicative of severe malnutrition. It suggests non-adherence to the treatment plan and ongoing weight loss, which is common in anorexia nervosa.

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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?

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A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

Correct Answer is C

Explanation

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