In a busy Emergency Department, a recent nursing graduate triages a patient with a severe foot wound. She uses a computerized patient classification system and receives an alert about the patient’s tetanus immunization status. What kind of technology produces this alert?

Choice A Reason

Feeling in control of her behavior is an important goal for clients with anorexia nervosa, as it addresses the psychological aspect of the disorder. Anorexia nervosa often involves a significant loss of control over eating behaviors and body image. However, while regaining a sense of control is crucial, it is not the immediate priority when the client is severely underweight and at risk for serious health complications. The primary focus should be on stabilizing the client’s physical health.

Choice B Reason

Making positive statements about improvements in body image is also an important goal, as it can help improve the client’s self-esteem and body perception. However, this goal is more long-term and secondary to addressing the immediate physical health risks associated with severe weight loss. Positive body image can be worked on concurrently with nutritional rehabilitation but should not overshadow the urgent need for weight gain.

Choice C Reason

Identifying changes within the family unit that promote the client’s autonomy is beneficial for long-term recovery. Family dynamics often play a significant role in the development and maintenance of eating disorders. Promoting autonomy and healthy family interactions can support the client’s recovery process. However, similar to the previous goals, this is a secondary priority compared to the immediate need to address the client’s critical nutritional status.

Choice D Reason

Gaining 2 pounds of weight per week is the most immediate and critical goal for a client with anorexia nervosa who is severely underweight. This goal directly addresses the life-threatening physical health risks associated with the disorder, such as malnutrition, electrolyte imbalances, and organ failure. Achieving a safe and steady weight gain is essential for stabilizing the client’s health and providing a foundation for addressing the psychological aspects of the disorder.

Choice A Reason:

Sending an email expressing gratitude to the nurse for their outstanding performance is a good way to recognize their efforts. However, it lacks the personal touch and immediacy that can make recognition more impactful. While written appreciation is valuable, face-to-face recognition can be more meaningful and memorable for the recipient.

Choice B Reason:

Commending the nurse’s conduct during their upcoming performance evaluation is also a positive approach. However, waiting until the performance evaluation may delay the recognition, reducing its immediate impact. Timely recognition is important to reinforce positive behavior and show appreciation when it is most relevant.

Choice C Reason:

Shielding the nurse from potential embarrassment by expressing appreciation privately is considerate, but it may not be the most effective method. While some individuals may prefer private recognition, public acknowledgment can boost morale and encourage others to strive for similar excellence. It is important to know the preferences of the individual being recognized, but generally, public recognition can have a broader positive impact.

Choice D Reason:

Approaching the nurse after they leave the patient’s room and conveying specific aspects of their care that were valued is the most effective method. This approach provides immediate, personal, and specific feedback, which can be highly motivating. It shows that the manager is attentive and appreciative of the nurse’s efforts, reinforcing the positive behavior in a timely manner. Specific feedback helps the nurse understand exactly what actions were appreciated, making it more likely they will continue to perform at a high level.