While planning care for a client with anorexia nervosa, the nurse determines that a realistic outcome would be that the client will:

verbalize the importance of adequate nutrition within a few weeks.

eat 100% of the diet including snacks within two days.

gain 10 pounds by the end of the week.

consume a high-calorie diet in the first day.

Answer and Explanation

The Correct Answer is A

a. Recovery from anorexia nervosa is a marathon, not a sprint. Setting small, achievable goals like understanding the importance of nutrition is crucial for initial progress.
b. Aiming for immediate, perfect dietary adherence is unrealistic and can be discouraging. Building healthy eating habits takes time and support.
c. Unrealistic weight gain goals can be demotivating and potentially harmful. Weight gain should be gradual and monitored by a healthcare professional.
d. A sudden high-calorie diet can be overwhelming for someone with a restricted eating pattern and could lead to gastrointestinal distress.

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Correct Answer is C

Explanation

a. Encourage alone time for the client in seclusion: Encouraging alone time in seclusion may exacerbate feelings of isolation and is not typically recommended for clients with conversion disorder, who may benefit more from social support and therapeutic interventions.
b. Assess one time for self-harm during treatment: While assessing for self-harm is important, it is not specific to conversion disorder and should be part of routine nursing care for all clients, regardless of diagnosis.
c. Discuss alternative coping strategies with the client: This is correct because exploring alternative coping strategies can help the client manage stressors and symptoms associated with conversion disorder in healthier ways.
d. Allow for unlimited discussion of physical symptoms: Allowing unlimited discussion of physical symptoms may reinforce symptom focus and is not typically recommended in the treatment of conversion disorder, where the focus is on addressing underlying psychological distress.

A. Thorough explanations with details B. Stimulating words and phrases C. Short words and simple sentences D. Pictures or gestures instead of words

Correct Answer is C

Explanation

a. Thorough explanations with details: This approach may overwhelm a client with a cognitive disorder due to complexity and length.
b. Stimulating words and phrases: Stimulating words and phrases can be confusing and may not be understood clearly by a client with cognitive impairment.
c. Short words and simple sentences: This is correct because it ensures clarity and facilitates understanding, which is essential when communicating with someone who has a cognitive disorder.
d. Pictures or gestures instead of words: While visual aids can be helpful, they should complement, not replace, verbal communication unless the client has severe communication difficulties.

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While planning care for a client with anorexia nervosa, the nurse determines that a realistic outcome would be that the client will:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is diagnosed with a conversion disorder. What actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

Which of the following will the nurse use when communicating with a client who has a cognitive disorder?

Correct Answer is C

Explanation

The client hears the word "match." The client replies, "A match. I like matches. They are the light of the world. God will light the world. Let your light shine." Which communication pattern does the nurse identify?

A client diagnosed with General Anxiety Disorder (GAD) is started on clonazepam and buspirone. Which statement made by the client indicates teaching has been effective? The client verbalizes that:

Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia disorder, tells them that voices command the child to harm others. Which is the appropriate nursing response?

A client diagnosed with schizophrenia disorder states, "My psychiatrist is out to get me. I'm sad that the voice is telling me to stop the psychiatrist." What symptom is the client exhibiting, and what is the nurse's legal responsibility related to this symptom?

A client diagnosed with Alzheimer's Disorder has impairments of memory and judgement and is incapable of performing activities of daily living. Which nursing intervention should take priority?

The nurse is giving discharge instructions to the family of a client diagnosed with a neurocognitive disorder. The nurse includes the client's family. Which statement by the family would indicate that teaching has been effective? The family states:

The nurse's approach to a client with neurotic vs. psychotic behavior is different mainly because clients with neurotic behavior.

A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic?