An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments (one week between first and second appointment), the patient gained B pounds. The nurse should
assess lung sounds and extremities.
positively reinforce the patient for the weight gain.
establish a higher goal for weight gain the next week.
suggest use of an aerobic exercise program.
The Correct Answer is B
A. Assessing lung sounds and extremities is not a priority in this context unless there are signs of fluid overload or other complications; it does not address the psychosocial aspect of anorexia recovery.
B. Positive reinforcement encourages the patient’s healthy behaviors and progress, helping to build motivation and self-esteem during the challenging refeeding process. Recognizing the patient’s achievement supports therapeutic engagement and adherence to treatment goals.
C. Immediately establishing a higher weight gain goal may increase anxiety or pressure on the patient, potentially undermining adherence and progress. Goals should remain realistic and individualized.
D. Suggesting aerobic exercise is inappropriate at this stage of refeeding, as excessive activity can interfere with weight restoration and may reinforce disordered behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Referring the patient to a minister avoids the nurse’s responsibility to provide immediate therapeutic support.
B. This response reflects the patient’s feelings and encourages further expression, which is therapeutic in depression.
C. Asking “why” can feel judgmental and place the patient on the defensive, which is non-therapeutic.
D. Giving false reassurance or imposing religious beliefs does not address the patient’s feelings and may shut down communication.
Correct Answer is B
Explanation
A. Judging the patient can shut down communication and make the patient feel defensive rather than heard.
B. This technique, also called reflective listening, shows the patient that the nurse is actively listening and trying to understand their perspective, encouraging further expression.
C. Direct questions can be useful, but they may limit patient expression and can feel leading rather than supportive.
D. While intended to show empathy, this phrase can be perceived as dismissive if the nurse has not fully explored the patient’s feelings.
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