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 A

Explanation

a. Establish rapport and develop treatment goals: During the orientation phase, the primary focus is on building trust and rapport with the client. Establishing rapport and developing treatment goals are essential to creating a therapeutic alliance and setting the stage for effective treatment.
b. Acknowledge the client's actions, and generate alternative behaviours: This action is more appropriate during the working phase, where the nurse and client work on behavior change and coping strategies.
c. Explore how thoughts and feelings about this client may adversely impact nursing care: This is part of the nurse's self-reflection and supervision but is not the priority during the orientation phase.
d. Attempt to find alternative placement: This may be considered if the current setting is unsuitable, but it is not the primary focus of the orientation phase.

A. Akathisia and hypersalivation B. Dry mouth and urinary retention C. Akinesia and insomnia D. Sore throat, fever, and malaise

Correct Answer is D

Explanation

a. Akathisia and hypersalivation. These side effects are uncomfortable but generally not immediately life-threatening.
b. Dry mouth and urinary retention. These side effects are concerning and should be monitored, but they do not typically require immediate intervention unless severe.
c. Akinesia and insomnia. While akinesia (lack of movement) and insomnia are significant, they are not immediately life-threatening symptoms.
d. Sore throat, fever, and malaise. This choice is correct because these symptoms could indicate agranulocytosis, a potentially life-threatening side effect of clozapine that requires immediate medical intervention.

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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

What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?

Correct Answer is A

Explanation

A client diagnosed with schizophrenia disorder is prescribed clozapine. Which symptoms, related to the side effects of this medication, should prompt a nurse to intervene immediately?

Correct Answer is D

Explanation

When the nurse admits a client with anorexia nervosa for treatment, the therapeutic milieu should provide: (SELECT ALL THAT APPLY)

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:

At what point should the nurse determine that a client is at risk for developing mental illness? When:

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 caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to the unlicensed nursing assistant?

Which statement, made by the client in group therapy, would demonstrate to the nurse that the client has made progress with anger and aggression management?

The nurse understands that which medication has been used with some success in clients diagnosed with anorexia nervosa along with depression?

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?