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

Assess for depression and anxiety every shift

Communicate empathy for the patient's feelings to increase rapport

Help the patient balance energy expenditure and caloric intake.

Observe for adverse eﬀects of refeeding.

Answer and Explanation

The Correct Answer is D

Refeeding syndrome is a potentially life-threatening condition that can occur when a person with anorexia nervosa begins to eat again after a period of starvation. It is important for the nurse to closely monitor the patient for signs of refeeding syndrome, such as electrolyte imbalances and ﬂuid overload, as the patient begins to gain weight.

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Correct Answer is A

Explanation

Denial is a defense mechanism where an individual refuses to accept or acknowledge the existence of a problem or a reality that causes anxiety or distress. In this scenario, the client is denying that their coughing is related to their lung cancer, and instead attributing it to a common cold that everyone is getting. This denial may be a way for the client to avoid facing the reality of their illness and the potential consequences of smoking.

Option b, reaction formation, is a defense mechanism where an individual expresses feelings or behaviors that are the opposite of their true feelings to reduce anxiety.

Option c, sublimation, is a defense mechanism where an individual channels their unacceptable impulses into more acceptable or socially appropriate behaviors.

Option d, suppression, is a defense mechanism where an individual consciously pushes down or avoids their thoughts or feelings. None of these defense mechanisms are being exhibited in the scenario described.

A. The nurse develops a trusting relationship with the patient. B. The patient states,” Talking to you feels like talking to my parents and uncle." C. The patient's reactions toward the nurse seem realistic and appropriate. D. The nurse feels unusually and excessively happy when the patient's mood begins to lift.

Correct Answer is B

Explanation

This statement by the patient suggests that they may be projecting their feelings, thoughts, and attitudes toward their parents and uncle onto the therapist. This projection is a common phenomenon in therapy and is known as transference. Transference occurs when a patient transfers emotions, desires, and expectations from one person to another, usually the therapist. It can be positive or negative and can aﬀect the therapeutic relationship.

Therefore, the statement "Talking to you feels like talking to my parents and uncle" is a clear indication of transference and should be carefully considered by the therapist in the ongoing therapy sessions. The therapist should explore the patient's feelings and experiences with their parents and uncle to better understand the nature of the transference and how it may be aﬀecting the therapeutic process.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who smokes and has lung cancer. The client reports, “I'm coughing because I have that cold that everyone has been getting.” The nurse should identify that the client is using which of the following defense mechanisms?

Correct Answer is A

Explanation

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:

Correct Answer is B

Explanation

A client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed? Select one:

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

A psychiatric nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

A registered nurse puts a client who has a psychotic disorder in seclusion overnight because the unit is very short-staﬀed, and the client frequently fights with other clients. the nurse's actions are an example of which of the following torts?

Which of the following individuals is at highest risk for committing suicide?

Which technique will best communicate to a patient that the registered nurse is interested in listening?

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:

Which is associated with bulimia nervosa?

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