Which of the following findings should a nurse expect when assessing an adolescent female client with anorexia nervosa?

 

Choice A Reason:
"I understand that you feel like you don't need it; however, the provider thinks it will help." This response acknowledges the client's feelings but immediately contradicts them by emphasizing the provider's opinion. This can make the client feel invalidated and less likely to engage in therapy. A therapeutic response should validate the client's feelings and encourage open communication without imposing the provider's perspective.

Choice B Reason:
"You don't feel like group therapy is for you. Tell me more about what you know about group therapy." This response is therapeutic because it validates the client's feelings and invites them to share their thoughts and knowledge about group therapy. It opens up a dialogue, allowing the nurse to understand the client's perspective better and address any misconceptions or fears they may have. This approach fosters a collaborative and empathetic relationship, which is crucial in therapeutic settings.

Choice C Reason:
"I am not saying that you need therapy, but I am sure it will help you." This response attempts to reassure the client but can come across as dismissive of their feelings. It implies that the nurse knows better than the client, which can create a power imbalance and hinder the therapeutic relationship. Effective therapeutic communication should empower the client and respect their autonomy.

Choice D Reason:
"You don't have to be afraid to go. Our therapists are very understanding." While this response aims to reassure the client, it assumes that fear is the primary reason for their reluctance. It does not validate the client's expressed feelings or invite further discussion. Therapeutic communication should be based on active listening and addressing the client's specific concerns.

Choice A reason:

Hallucinations are not a common side effect of Buspar (Buspirone) and could indicate a serious reaction to the medication. If a client experiences hallucinations, it is crucial for the nurse to report this to the provider immediately as it may require medical intervention or adjustment of the medication.

Choice B reason:

Discolored urine can be concerning, but it is not typically associated with Buspar (Buspirone). It could be related to other factors such as diet, hydration levels, or other medications. However, if the discoloration is persistent or accompanied by other symptoms, it should be reported to the provider.

Choice C reason:

Decreased appetite might occur with Buspar (Buspirone), but it is generally not considered a serious side effect. If the decreased appetite leads to significant weight loss or nutritional deficiencies, it should be discussed with the provider.

Choice D reason:

Sweating can be a side effect of many medications and is not usually a cause for concern with Buspar (Buspirone). However, if sweating is excessive or causes discomfort, it may be worth mentioning to the provider.