The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measures will the nurse educate the group regarding? (Select all that apply.)
To be healthy in body and mind, it is better to be at optimal body weight or slightly below.
Work on the development of coping strategies to handle emotional issues that arise.
Develop realistic ideas about body shape and size and avoid comparing oneself to the "ideal."
Find outcomes that are achievable to increase self-esteem.
Correct Answer : B,C,D
Choice A reason: This statement could be misleading and potentially harmful as it may encourage unhealthy weight goals. Optimal health is not necessarily correlated with being at or below a certain weight.
Choice B reason: Developing coping strategies to handle emotional issues is a key preventative measure against eating disorders, as it helps individuals manage stress without resorting to disordered eating behaviors.
Choice C reason: Encouraging realistic ideas about body shape and size and avoiding comparisons to an "ideal" can prevent the development of negative body image, which is often associated with eating disorders.
Choice D reason: Helping adolescents find achievable outcomes to increase self-esteem can reduce the risk of eating disorders, as low self-esteem is a known risk factor.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement reflects a partial understanding of the control issues associated with anorexia but does not indicate a full understanding of the disorder's complexity or the family's role in recovery.
Choice B reason: This statement suggests a lack of understanding of anorexia nervosa, as it is not a phase but a serious mental health condition that requires professional treatment.
Choice C reason: While issues with sexual identity can be stressful, they are not typically the cause of anorexia nervosa, which is characterized by an intense fear of gaining weight and a distorted body image.
Choice D reason: Recognizing a codependent relationship and the enabling of unhealthy behaviors shows an understanding of the dynamics that can contribute to the maintenance of an eating disorder like anorexia nervosa.
Correct Answer is B
Explanation
Choice A reason: Gastric lavage is typically not the first-line treatment for lithium toxicity due to the risk of aspiration and potential complications. It is usually reserved for cases where the ingestion was recent and massive.
Choice B reason: When a client presents with an extremely elevated lithium level, it is crucial to hold further doses to prevent exacerbation of toxicity. The nurse should monitor for early signs of toxicity, which include gastrointestinal symptoms like nausea, vomiting, diarrhea, and neurological symptoms such as tremors, confusion, and ataxia. The normal therapeutic range for lithium is 0.6 to 1.2 mmol/L, and levels above 1.5 mmol/L are considered toxic.
Choice C reason: While it is important to review the medication record, the immediate concern with an extremely elevated lithium level is addressing the toxicity. Checking the medication record can be part of the assessment process but is not the priority action.
Choice D reason: Administering the morning dose of lithium could worsen the client's condition by increasing the lithium level further, which is already extremely elevated. This could lead to severe toxicity or even fatal consequences.
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