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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: SSRIs increase serotonin levels in the brain, effectively managing GAD with a low risk of dependence. Side effects like nausea or headache are generally mild and transient, making SSRIs safer compared to other classes, as they do not cause significant physiological dependence or severe adverse effects.

Choice B reason: Tricyclic antidepressants affect multiple neurotransmitters, effectively treating GAD but with significant side effects like anticholinergic effects (dry mouth, constipation) and potential cardiotoxicity. They carry a higher risk of overdose and side effects compared to SSRIs, making them less safe for long-term use in GAD.

Choice C reason: Benzodiazepines enhance GABA activity, providing rapid anxiety relief but with a high risk of physiological dependence and withdrawal. Side effects like sedation and cognitive impairment, along with abuse potential, make them less safe than SSRIs for long-term GAD management.

Choice D reason: MAOIs inhibit monoamine oxidase, increasing neurotransmitter levels for GAD treatment. However, they have significant side effects, including hypertensive crises from dietary tyramine, and require strict dietary restrictions. Their risk profile and potential for severe interactions make them less safe than SSRIs.

A. Pulmonary edema B. Dependent edema C. Abdominal swelling D. Dry cough E. Distended neck veins

Correct Answer is ["B","C","E"]

Explanation

Choice A reason: Pulmonary edema is associated with left-sided heart failure, where blood backs up into the lungs, causing fluid leakage and crackles. Right-sided heart failure primarily affects systemic venous return, leading to peripheral and abdominal fluid accumulation, not pulmonary edema, making this inconsistent with the diagnosis.

Choice B reason: Dependent edema, such as ankle or leg swelling, occurs in right-sided heart failure due to impaired right ventricular pumping, causing blood to back up in systemic veins. This leads to fluid leakage into peripheral tissues, a hallmark symptom consistent with right-sided heart failure.

Choice C reason: Abdominal swelling, or ascites, results from right-sided heart failure due to increased venous pressure in the systemic circulation, causing fluid accumulation in the peritoneal cavity. This is a common and consistent finding, reflecting the systemic congestion caused by right heart dysfunction.

Choice D reason: Dry cough is typically associated with left-sided heart failure due to pulmonary edema irritating the airways. Right-sided heart failure causes systemic venous congestion, not pulmonary fluid buildup, so dry cough is not a primary or consistent symptom of this condition.

Choice E reason: Distended neck veins (jugular vein distension) occur in right-sided heart failure due to increased systemic venous pressure from impaired right ventricular emptying. This is a key clinical sign, reflecting the backup of blood in the venous system, consistent with right-sided heart failure.

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The nurse provides education to a client's family diagnosed with anorexia nervosa. Which statement would indicate that the education was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the four classes of medications used for Generalized Anxiety Disorder (GAD) is considered the safest because of low incidence of side effects and lack of physiological dependence?

Correct Answer is A

Explanation

The nurse is assessing a client who has a history of right-sided heart failure. Which assessment finding(s) is/are most consistent with this client’s diagnosis? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

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