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 D

Explanation

Choice A reason: Resuming vigorous activity like tennis one week post-pacemaker insertion risks lead dislodgement, as the device requires time to stabilize. Arm movements in tennis, especially overhead swings, can disrupt the pacemaker leads, making this advice unsafe and inappropriate.

Choice B reason: Suggesting hockey or skating as alternatives is incorrect, as these activities also involve significant physical exertion and risk of trauma to the pacemaker site. Additionally, delaying until fall is arbitrary, and these sports do not reduce the risk of lead dislodgement compared to tennis.

Choice C reason: Substituting tennis with basketball or football is inappropriate, as these contact sports pose a higher risk of trauma to the pacemaker site, potentially causing device malfunction or lead dislodgement. These activities are not safer alternatives and could exacerbate complications.

Choice D reason: Restricting arm movement above the head for two weeks post-pacemaker insertion prevents lead dislodgement, as the leads need time to anchor in the heart tissue. Tennis involves vigorous arm motions, so canceling the tournament is necessary to ensure device stability and client safety.

A. Both are recommended; since your insurance covers both, that is the best plan for you. B. Medications balance brain chemistry, but therapy helps achieve lasting behavior change. C. The effects of medications will not last forever; you will need to learn to function without them. D. What are the reservations that you have regarding attending therapy sessions?

Correct Answer is B

Explanation

Choice A reason: Recommending both treatments due to insurance coverage is not therapeutic, as it does not address the clinical rationale. Antidepressants and therapy target different aspects of depression (neurochemical and behavioral), and this response fails to explain their complementary roles effectively.

Choice B reason: Antidepressants correct neurotransmitter imbalances (e.g., serotonin) to alleviate depressive symptoms, while therapy (e.g., CBT) addresses maladaptive thought patterns and behaviors, promoting long-term coping skills. This combination enhances recovery, making this the most therapeutic explanation for the client’s treatment plan.

Choice C reason: Suggesting medications are temporary implies the client will stop treatment, which may not be true for chronic depression. This undermines the importance of ongoing management and therapy’s role in behavioral change, making it less therapeutic and potentially discouraging.

Choice D reason: Asking about reservations may encourage dialogue but does not directly explain the need for therapy alongside medication. It sidesteps the clinical rationale for combined treatment, which is critical for understanding the comprehensive approach to depression management.

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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

The nurse is caring for a client who is being discharged after insertion of a permanent pacemaker. The client, an avid tennis player, is scheduled to play in a tournament in one week. What teaching should the nurse provide to the client related to this activity?

Correct Answer is D

Explanation

A client asks the nurse why they have to go to therapy and cannot just take the prescribed antidepressant medication. Which would be the most therapeutic response by the nurse?

Correct Answer is B

Explanation

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

A client with depression is prescribed phenelzine (Nardil). The client says to the nurse, “I will need to watch my diet with this medication. What food options should I avoid?” Which of the following is the correct response by the nurse?

What should the nurse plan to teach as a priority for a client who is taking a benzodiazepine daily for anxiety?

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A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

A client is experiencing a panic attack while in an inpatient group room. Which nursing interventions would promote the client's safety? (Select all that apply)

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