The nurse provides education to a client's family diagnosed with anorexia nervosa. Which statement would indicate that the education was effective?
We will be sure our family member is eating well and maintaining their weight.
We will eat our evening meals together with no exceptions.
We will negotiate resolutions to family conflicts.
We will spend less time discussing troublesome family members.
The Correct Answer is A
Choice A reason: Anorexia nervosa involves severe food restriction, leading to malnutrition and weight loss. Ensuring the client eats well and maintains weight directly addresses the core physiological issue, promoting recovery by restoring nutritional balance and supporting organ function, which is critical for effective treatment and long-term health.
Choice B reason: Eating meals together may foster a supportive environment but does not ensure nutritional adequacy or weight maintenance. It may provide emotional support, but without specific focus on the client’s dietary intake and weight restoration, it is less effective in addressing the primary physiological needs of anorexia nervosa.
Choice C reason: Negotiating family conflicts can reduce stress, which may exacerbate anorexia nervosa symptoms. However, it does not directly address the client’s nutritional or weight restoration needs, which are the primary focus in anorexia treatment. Emotional health is secondary to physical recovery in effective education.
Choice D reason: Reducing discussion about troublesome family members may decrease emotional tension but does not address the core issue of anorexia nervosa, which is severe food restriction and weight loss. This approach lacks direct impact on the physiological aspects of recovery, making it less relevant to effective education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Relaxation techniques, such as deep breathing or progressive muscle relaxation, modulate the autonomic nervous system, reducing sympathetic arousal. This allows the client to experience anxiety without overwhelming physiological or emotional responses, promoting better coping and emotional regulation, which is a realistic and therapeutic goal.
Choice B reason: Suppressing anxious feelings is not a realistic goal, as anxiety is a natural response. Relaxation techniques aim to manage, not eliminate, anxiety by reducing its intensity. Suppression can lead to emotional avoidance, potentially worsening underlying psychological conditions and hindering effective coping strategies.
Choice C reason: Confronting the source of anxiety directly is a goal of cognitive-behavioral therapy, not relaxation techniques. These techniques focus on physiological calming rather than addressing root causes, which requires structured therapeutic intervention, making this an inappropriate goal for relaxation training.
Choice D reason: Reporting the absence of all anxiety symptoms is unrealistic, as anxiety is a normal human emotion. Relaxation techniques aim to reduce the intensity and impact of anxiety, not eliminate it entirely, making this goal unattainable and less relevant for clients learning these methods.
Correct Answer is D
Explanation
Choice A reason: Calcium channel blockers reduce blood pressure by relaxing vascular smooth muscle but are not primary replacements for ACE inhibitors in heart failure. They do not address the renin-angiotensin system or the cough side effect mechanism, making them less suitable for this scenario.
Choice B reason: Beta blockers reduce heart rate and myocardial oxygen demand in heart failure but do not directly replace ACE inhibitor effects on the renin-angiotensin system. They are often used adjunctively, not as replacements, and do not address the cough side effect.
Choice C reason: Potassium-sparing diuretics manage fluid retention in heart failure but do not inhibit the renin-angiotensin system like ACE inhibitors. They are not a direct replacement and do not address the cough, which is specific to ACE inhibitor intolerance.
Choice D reason: ARBs block angiotensin II receptors, providing similar benefits to ACE inhibitors in heart failure by reducing vascular resistance and cardiac workload. They are less likely to cause cough, as they do not increase bradykinin levels, making them the expected replacement medication.
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