A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?

Anorexia

Emaciation

Cachexia

Nausea

Answer and Explanation

The Correct Answer is A

The nurse should document the client's condition as anorexia. Anorexia refers to the loss of appetite or desire to eat. In this case, the client is reporting a loss of appetite following a prolonged illness, which would be accurately described as anorexia.

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Correct Answer is A

Explanation

When providing education to a postoperative client on how to use an incentive spirometer, an accurate step that should be included in the education plan is to instruct the client to inhale slowly and as deeply as possible through the mouthpiece without using the nose ¹⁴. This helps the client to take deep breaths and fully expand their lungs. The other options (Instruct the client to inhale normally and then place the lips securely around the mouthpiece, Encourage the client to perform incentive spirometry 2 to 3 times every 1 to 2 hours, if possible, and When the client cannot inhale anymore, the client should hold his breath and count to 10) are not accurate steps that should be included in the education plan.

A. Repression. B. Rationalization. C. Reaction formation. D. Regression.

Correct Answer is D

Explanation

The adult client is displaying regression, which is a defense mechanism where an individual reverts to an earlier stage of development in response to stress or conﬂict. In this case, the client is throwing a temper tantrum, which is a behavior typically associated with young children, because he does not get his own way. This behavior can be seen as a regression to a less mature way of coping with stress or conﬂict.

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A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a postoperative client on how to use an incentive spirometer. Which of the following is an accurate step that should be included in the education plan?

Correct Answer is A

Explanation

A nurse is taking care of an adult client who throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?

Correct Answer is D

Explanation

The nurse has been caring for a client for several days and has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?

A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on aﬀective learning with this client, the nurse should use which of the following interventions?

During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed and says "leave me alone." Which subjective data should the nurse document?

Which of the following principles does the nurse use in selecting interventions for the care plan?

A nurse is conducting an assessment on a client diagnosed with narcolepsy. The nurse should anticipate which of the following findings? Select all that apply.

A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?

A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)? Select all that apply.