A nurse in an acute mental health facility is planning care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Provide opportunities for the client to choose their own mealtimes.

Supervise the client during and after eating.

Give the client a choice of foods and beverages.

Encourage casual conversation about food during mealtimes.

Answer and Explanation

The Correct Answer is B

A. While offering choices can promote autonomy, allowing clients to choose their own mealtimes may lead to avoidance of meals and is not a structured approach needed for clients with anorexia nervosa.

B. Supervision during and after eating is critical in managing clients with anorexia nervosa to ensure they consume the necessary nutrients and to monitor for any harmful behaviors, such as purging.

C. Although providing choices can support autonomy, it may not be suitable for clients with anorexia nervosa, as they might choose low-calorie or unhealthy options.

D. Encouraging casual conversation about food can sometimes increase anxiety or lead to fixation on eating behaviors, making it an inappropriate strategy for this population.

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Correct Answer is C

Explanation

A. Compensated metabolic acidosis would show a normal pH with a decrease in HCO3- and a decrease in PaCO2.

B. Compensated respiratory acidosis would show a normal pH with an elevated PaCO2 and a compensatory increase in HCO3-.

C. The low pH indicates acidosis, and the elevated PaCO2 suggests that it is respiratory in origin, with the HCO3- remaining normal, indicating no compensation has occurred yet.

D. Uncompensated metabolic acidosis would present with a low pH, low HCO3-, and normal PaCO2.

A. Dietary salt restriction B. Absence of symptoms C. Addition of a new medication D. A detailed plan of care

Correct Answer is B

Explanation

A. Dietary salt restriction can be challenging, but patients often adapt over time with education and support; it is not usually the greatest barrier.

B. Many clients with high blood pressure feel well despite elevated readings, so the absence of symptoms can lead them to underestimate the seriousness of their condition and skip medications, making this the most significant barrier.

C. Adding a new medication may complicate the regimen, but understanding its purpose can improve adherence; it is less influential than asymptomatic disease.

D. A detailed plan of care is intended to guide the client, and while complexity can be a barrier, it is typically easier to address with education and support than the lack of perceived need due to no symptoms.

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A nurse in an acute mental health facility is planning care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

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