Which assessment finding for a client diagnosed with an eating disorder meets a criterion for
hospitalization? Select one:

Pulse rate: 55 beats/min

Serum potassium: 3.5 mEq/L

Systolic blood pressure: 62 mm Hg

urine output: 90 ml/3 hr.

Answer and Explanation

The Correct Answer is C

A systolic blood pressure of 62 mm Hg indicates severe hypotension and is a medical emergency. This is a life-threatening situation that requires immediate hospitalization for stabilization and treatment. Clients with eating disorders are at risk of electrolyte imbalances, cardiac complications, and other medical complications due to malnutrition and dehydration. While the other options are also abnormal findings, they are not as severe as the critically low blood pressure measurement. Therefore, the priority for hospitalization would be the client with severe hypotension.

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Correct Answer is D

Explanation

This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.

Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option c. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects may require medication adjustment and monitoring for side eﬀects, but this situation is not as urgent as the client experiencing auditory hallucinations.

A. Sublimation B. Transference C. Counter transference D. Repression

Correct Answer is C

Explanation

Countertransference refers to the feelings and emotions that a healthcare provider may have towards a patient. In this case, the nurse is experiencing sadness and reﬂecting on their own personal experiences with their grandparents while assessing the confused older adult. This can lead to the nurse projecting their own feelings and emotions onto the patient.

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Which assessment finding for a client diagnosed with an eating disorder meets a criterion for hospitalization? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

Correct Answer is D

Explanation

A registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe? Select one:

Correct Answer is C

Explanation

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

Which is associated with bulimia nervosa?

Group therapy is encouraged but not mandatory. on an inpatient psychiatric unit, the unit manager's policy is that clients can make a choice about whether or not to attend group therapy. Which ethical principle does the unit manager preserve?

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy? Select one:

A psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)? Select one:

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Which assessment finding for a client diagnosed with an eating disorder meets a criterion for
hospitalization? Select one: