A male inpatient client who is experiencing depression has no interest in eating. He skips meals frequently and has been losing weight. What is the best nursing action in this situation?
Leave food with the client at mealtime and offer snacks frequently
Give the client information on the benefits of good nutrition
Ask the client to "Please eat one meal for me."
Remove client privileges every time the client doesn't eat
The Correct Answer is A
Choice A rationale: this is correct since it provides the patient with an opportunity to eat his meals freely whenever they are ready to eat without feeling pressured or threatened.
Choice B rationale: the patient already knows about the benefits of good nutrition but still lacks the motivation to eat owed of his depression hence this may not be very helpful in this situation.
Choice C rationale: this may make the patient feel manipulated and guilty for not eating hence may not be helpful in addressing the underlying situation.
Choice D rationale: this may worsen the patient’s depression and lower their self-esteem since they will receive punishment for their condition rather than being offered the necessary help.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale: this is incorrect since enjoyment is not a criterion for effective therapy and can be inappropriate and unrealistic in some situations.
Choice B rationale: rapport is essential in a therapeutic relationship since it establishes a connection and a mutual understanding between the healthcare professional and a client thus ensuring that the best management is offered to the patients with their needs being considered.
Choice C rationale: acceptance is crucial in a therapeutic relationship since it ensures that the healthcare professional develops a positive relationship towards the client without judging them.
Choice D rationale: Genuineness is important since it promotes honesty, authenticity, and congruency in an individual’s words and actions hence this fosters appropriate management.
Choice E rationale: love may result in personal attachment and emotional involvement which may tamper with the boundaries and roles of a therapist thus resulting in ethical violations in patient management.
Correct Answer is C
Explanation
Choice A rationale: Both sodium and chloride are important for fluid balance but chloride has no effect on the blood lithium levels.
Choice B rationale: sodium has an effect on the blood lithium levels by competing with lithium for reabsorption in the kidneys but vitamins do not influence the lithium levels in blood.
Choice C rationale: dehydration increases the risk of lithium toxicity since it will result in oliguria hence increasing the risk of lithium toxicity since the drug is primarily excreted in urine. Sodium and lithium compete for reabsorption in the kidneys, so low sodium levels can increase lithium retention and lead to toxicity. Therefore, the client should maintain an adequate intake of sodium and water to prevent dehydration and sodium loss and to keep the lithium level within the therapeutic range.
Choice D rationale: water has an influence on blood lithium levels since adequate intake minimizes the risk of toxicity by increasing the drug’s excretion in urine.
However, potassium does not compete with lithium for reabsorption.
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