A nurse on an inpatient eating disorder unit is assisting in the care of a client who has anorexia nervosa.

A nurse on an inpatient eating disorder unit is collecting data from a client. Which of the following findings indicate a therapeutic response to the treatment plan? Select all that apply.

ECG report

Weight

Sodium level

Respiratory assessment

Temperature

Creatinine level

Answer and Explanation

Correct Answer : A,B,D,E,F

A. The ECG shows persistent sinus bradycardia, which is common in anorexia nervosa. While some bradycardia may remain, the presence of palpable pulses and stable ECG readings indicate cardiovascular stability, reflecting a positive response to treatment.

B. The client’s weight increased from 34.5 kg to 37.2 kg, and BMI improved from 13 to 14.1. Weight gain is a primary indicator of therapeutic progress in anorexia nervosa, reflecting nutritional rehabilitation and improved metabolic status.

C. Sodium remains low (128 → 130 mEq/L). Although slightly improved, it is still below the normal range, so this is not yet a full therapeutic response. Sodium levels require continued monitoring and correction.

D. Respirations improved from slightly labored to even and unlabored, indicating improved oxygenation, metabolic stability, and overall physiologic improvement.

E. Temperature increased from 35.6°C (96°F) to 36°C (97°F), moving toward normal. Hypothermia is common in anorexia due to malnutrition; the improvement indicates better metabolic and nutritional status.

F. Creatinine decreased from 1.2 mg/dL to 0.9 mg/dL. Elevated creatinine initially reflected dehydration and possible muscle catabolism. The reduction toward the normal range demonstrates improved hydration and renal function, indicating a therapeutic response.

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Correct Answer is A

Explanation

A. Referring the adolescent to resources aimed at reducing socioeconomic stressors is correct. social determinants of health recognizes that factors such as poverty, food insecurity, and unstable housing can exacerbate depression in adolescents. Connecting the adolescent and family to support programs (e.g., food assistance, housing resources, financial aid) helps alleviate stressors contributing to depressive symptoms and promotes overall mental health.

B. Advising the family to relocate may not be feasible due to financial constraints. While neighborhood conditions can influence mental health, suggesting relocation without considering resources is unrealistic and may increase stress, making it an inappropriate intervention.

C. Focusing solely on the adolescent’s mental health without addressing socioeconomic factors is incomplete. Effective depression management, especially in adolescents living in poverty, requires a holistic approach that considers environmental and social contributors to mental health.

D. Encouraging mental health treatment without considering financial challenges may result in limited access to care. Interventions must be tailored to the adolescent’s resources to ensure adherence and effectiveness.

A. Prescribe extensive periods of isolation to reduce stress. B. Focus exclusively on risk-taking behaviors and implement restrictive measures C. Develop a care plan that includes mood stabilization and monitoring for risky behaviors. D. Encourage independent decision-making without monitoring behaviors.

Correct Answer is C

Explanation

A. Prescribing extensive periods of isolation is inappropriate. Isolation can increase feelings of loneliness, frustration, and agitation and does not address the underlying mood instability or promote healthy coping.

B. Focusing exclusively on risk-taking behaviors and implementing restrictive measures is incomplete. While safety is important, care must also address mood symptoms and emotional regulation. Restrictive measures alone do not support overall recovery and skill development.

C. Developing a care plan that includes mood stabilization and monitoring for risky behaviors is correct. bipolar disorder in adolescents requires a comprehensive approach: pharmacologic and non-pharmacologic interventions to stabilize mood, combined with ongoing assessment of behaviors that may endanger the adolescent or others. This approach balances safety with therapeutic support and skill building.

D. Encouraging independent decision-making without monitoring behaviors is unsafe. Adolescents experiencing mania or impulsivity may engage in risky or harmful actions, so supervision and guidance are essential alongside promoting autonomy.

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A nurse on an inpatient eating disorder unit is assisting in the care of a client who has anorexia nervosa. A nurse on an inpatient eating disorder unit is collecting data from a client. Which of the following findings indicate a therapeutic response to the treatment plan? Select all that apply.

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A nurse on an inpatient eating disorder unit is assisting in the care of a client who has anorexia nervosa.

A nurse on an inpatient eating disorder unit is collecting data from a client. Which of the following findings indicate a therapeutic response to the treatment plan? Select all that apply.