Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?

The client will eat nutritious meals in the hospital cafeteria.

The client will verbalize feelings of a positive self-esteem.

The family will communicate their love and concern to the client.

The entire family will attend family therapy sessions regularly.

None

Answer and Explanation

The Correct Answer is B

A. The client will eat nutritious meals in the hospital cafeteria.
While eating nutritious meals is essential for the physical recovery of the adolescent, improving self-esteem is the highest priority in the treatment of anorexia nervosa. A negative body image and poor self-esteem are central to the disorder, and addressing these underlying psychological factors can foster more effective long-term recovery. Although ensuring the client eats is important, achieving a positive self-image is fundamental for encouraging healthier eating behaviors and overall recovery.

B. The client will verbalize feelings of a positive self-esteem.
This goal is the most appropriate because it targets the core psychological issues that contribute to anorexia nervosa, such as distorted body image and low self-worth. Enhancing the client’s self-esteem can improve their willingness to engage in healthier behaviors, including eating, which directly supports both the physical and emotional aspects of recovery. Verbalizing positive self-esteem is a key step in addressing the psychological distortions that drive the disorder.

C. The family will communicate their love and concern to the client.
While family support is vital to the recovery process, the priority should be on the adolescent’s internal psychological healing. Family communication is important for creating a supportive environment, but it is secondary to addressing the client’s self-esteem and the immediate needs of recovery from anorexia nervosa.

D. The entire family will attend family therapy sessions regularly.
Family therapy is important, but it is not the highest priority in the acute phase of treatment. In the beginning stages of treatment, the focus should be on addressing the adolescent’s psychological and nutritional needs. Family therapy can be integrated later in the treatment plan once the client’s basic physical and emotional health are stabilized.

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Correct Answer is C

Explanation

Choice A rationale: A body mass index (BMI) of 21 is within the normal range and does not require immediate notification to the healthcare provider.

Choice B rationale: A blood pressure of 110/70 mm Hg is within the normal range for an adolescent and does not require immediate notification.

Choice C rationale: A potassium level of 2.9 mEq/dL (2.9 mmol/L) is below the normal range (hypokalemia) and requires notification to the healthcare provider due to the potential for adverse effects on cardiac and neuromuscular function.

Choice D rationale: A WBC of 10,000/mm3 (10 x 109/L) falls within the normal range and does not require immediate notification.

A. Recommend that the client talk with a social worker today. B. Offer the client a safe place to relax before the Interview. C. Assure client of an interview with the healthcare provider today. D. Ask the client to describe the stalker and If It is frequent.

Correct Answer is B

Explanation

Choice A Rationale: While talking to a social worker could be beneficial, it may not address the client's immediate need for safety and comfort. Social work intervention is important, but the priority is to ensure the client feels secure in the current environment.
Choice B Rationale: Offering a safe place to relax is crucial as it addresses the client's immediate need for safety and security. Feeling safe can help reduce anxiety and allows the client to compose themselves before discussing their concerns in detail.
Choice C Rationale: Assuring an interview with the healthcare provider is important, but it does not prioritize the client's immediate emotional and psychological needs. The assurance of care is part of the overall treatment plan but is secondary to providing a safe environment.
Choice D Rationale: Asking the client to describe the stalker is part of the assessment process, but it is not the most important initial action. The client's immediate emotional state must be stabilized before any detailed information gathering can be effective.

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Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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