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 B

Explanation

Choice A rationale: Telling the client they are out of control may escalate the situation and provoke further aggression. It is not a therapeutic or de-escalation technique.

Choice B rationale: Staying quietly with the client is a calm and non-confrontational approach. It allows the client to express emotions while conveying a supportive presence.

Choice C rationale: Distracting the client by offering finger foods may not be appropriate during a shouting episode, as it may be perceived as dismissive of the client's feelings or concerns.

Choice D rationale: Ignoring the client's acting-out behavior is not the best option. The nurse should acknowledge the client's emotions and provide support rather than ignoring the distress.

A. Provide teaching on the symptoms of substance use dependence. B. Advise the client to reschedule until committing to recovery. C. Support the client to list small behavioral changes needed. D. Explain the specific skills needed to prevent a relapse.

Correct Answer is C

Explanation

Choice A rationale: Providing teaching on the symptoms of substance use dependence may be appropriate, but supporting the client's desire for positive changes is the immediate priority.

Choice B rationale: Advising the client to reschedule is not supportive of their current motivation for change.

Choice C rationale: Supporting the client to list small behavioral changes needed aligns with the client's expressed desire for a healthier lifestyle and is consistent with motivational interviewing techniques.

Choice D rationale: Explaining specific relapse prevention skills may be useful later in the recovery process, but initially supporting the client's motivation for change is the priority.

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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

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Correct Answer is C

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