The client has a nursing diagnosis of "altered body image as evidence by client claims of "feeling fat" despite emaciated appearance (extremely thin)". Which is the most appropriate outcome goal for this nursing diagnosis
The client will verbalize positive statements about healthy weight and body image.
The client will not express a preoccupation with food.
The client will cease strenuous exercise programs.
The client will consume adequate calories to sustain normal weight.
The Correct Answer is A
A. The client will verbalize positive statements about healthy weight and body image: Verbalizing positive self-perception and realistic body image directly addresses the cognitive and emotional aspects of altered body image. It reflects progress toward acceptance and improved self-esteem.
B. The client will not express a preoccupation with food: Reducing food preoccupation relates to eating behaviors rather than directly addressing distorted body image. While important, it does not measure the client’s perception of self.
C. The client will cease strenuous exercise programs: Limiting excessive exercise addresses compensatory behaviors but does not target the client’s distorted body image. Exercise modification supports safety and weight restoration but is not a cognitive outcome.
D. The client will consume adequate calories to sustain normal weight: Adequate caloric intake focuses on physical health and weight restoration, which supports treatment, but it does not directly evaluate the client’s perception or acceptance of body image.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Loss of expressive language and comprehension: Prominent impairment in expressive language and comprehension is commonly associated with frontotemporal dementia, particularly variants affecting the frontal and temporal lobes. Cognitive changes in this condition often center on language rather than visuospatial or motor features.
B. Stepwise irregular cognitive decline: A stepwise pattern of cognitive decline is linked to repeated cerebrovascular events causing cumulative neurological damage. Cognitive changes often follow discrete episodes rather than fluctuating attention or alertness. Motor findings depend on the location of vascular injury rather than basal ganglia involvement.
C. Gradual memory decline without motor symptoms: Progressive memory impairment without early motor involvement aligns more closely with Alzheimer-type neurocognitive changes. Memory loss tends to be the primary early feature, with motor symptoms appearing later, if at all.
D. Visual hallucinations and parkinsonian features: Lewy Body dementia frequently presents with recurrent visual hallucinations alongside motor features such as rigidity, bradykinesia, and gait instability. Fluctuations in cognition and alertness may also occur due to widespread alpha-synuclein deposition in cortical and subcortical regions.
Correct Answer is B
Explanation
A. Involve family in treatment: Family involvement helps address relational stressors and improves communication and support systems. Education and collaboration with caregivers can reduce triggers for self-harm and reinforce healthy coping strategies. Inclusion is guided by safety, consent, and therapeutic goals.
B. Encourage secrecy to maintain trust: Encouraging secrecy can increase risk by limiting safety planning and preventing appropriate monitoring. Nursing care emphasizes transparency, safety, and appropriate information sharing when self-harm is present. Trust is built through honest communication and protective collaboration.
C. Refer for dialectical behavior therapy (DBT): DBT is an evidence-based approach for adolescents who engage in self-injury. It focuses on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. Referral supports development of safer coping skills.
D. Teach alternative coping strategies: Teaching skills such as grounding, journaling, sensory modulation, or reaching out for support provides practical alternatives to self-harm. These strategies target emotional regulation and reduce reliance on injurious behaviors.
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