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 C

Explanation

Choice A rationale:

"Older adults are usually diagnosed with depressive disorder as they age.”. This choice is not appropriate because it makes a generalized statement about older adults being diagnosed with depressive disorder as they age. While depression can be more common in older adults due to various factors such as health issues and life changes, it's essential to explore the specific reasons for this particular client's symptoms.

Choice B rationale:

"You shouldn't worry about this because depressive disorder is easily treated.”. This choice dismisses the daughter's concerns and oversimplifies the treatment of depressive disorder. Depression can be a complex condition, and not all cases are easily treated. It's important to take the daughter's worries seriously and assess the client's condition thoroughly.

Choice D rationale:

"Everyone gets depressed from time to time.”. This response minimizes the daughter's concerns by suggesting that depression is a common experience for everyone. While it's true that many people may experience occasional sadness, clinical depression is a different matter and should be addressed with more empathy and attention.

A. "How have you dealt with similar situations in the past?". B. "Can you describe how you are currently feeling?". C. "Do you see your current situation affecting your future?". D. "How does this situation affect your life?".

Correct Answer is A

Explanation

Choice A rationale:

The nurse should ask the client, "How have you dealt with similar situations in the past?" This question is essential to assess the client's personal coping skills. By inquiring about the client's previous experiences in handling similar situations, the nurse can gain insight into the client's coping mechanisms and identify potential strengths and weaknesses. Understanding how the client has coped in the past can help tailor interventions and support to their specific needs.

Choice B rationale:

While asking, "Can you describe how you are currently feeling?" is a valuable question, it primarily focuses on the client's current emotional state and may not provide a comprehensive assessment of their coping skills. It is crucial to understand the client's emotions, but it does not directly address their coping strategies.

Choice C rationale:

"Do you see your current situation affecting your future?" is a forward-looking question that explores the client's perception of how their current situation might impact their future. While this question is relevant, it does not directly assess the client's coping skills and strategies. It focuses more on the client's expectations and outlook.

Choice D rationale:

"How does this situation affect your life?" is a broad question that can provide insights into the client's life and the impact of their current situation. However, it does not specifically address the client's coping skills and strategies. It may provide information about the consequences of their situation but not their ability to cope.

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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

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Explanation

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