A nurse is assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?

Bradycardia

Hyperactive bowel sounds

Dental erosion

Hypertension.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Bradycardia

Bradycardia, or an abnormally slow heart rate, is a common cardiovascular manifestation in individuals with anorexia nervosa. It is often a result of the body’s adaptive response to conserve energy due to severe malnutrition and reduced caloric intake. This is because the body is trying to conserve as much energy as possible, and one way it does this is by slowing down the heart rate. This can be dangerous, however, as it can lead to fainting, heart failure, or even death if not properly managed.

Choice B rationale: Hyperactive bowel sounds

Hyperactive bowel sounds are not typically associated with anorexia nervosa. Instead, individuals with this disorder often experience constipation and other gastrointestinal issues due to inadequate food intake. The lack of food intake can slow down the digestive process, leading to these symptoms.

Choice C rationale: Dental erosion

Dental erosion can be a consequence of anorexia nervosa, but it is more commonly associated with bulimia nervosa due to the frequent vomiting that characterizes this disorder. The stomach acid that comes into contact with the teeth during vomiting can cause the enamel to erode. However, it’s important to note that not all individuals with anorexia nervosa will experience this symptom.

Choice D rationale: Hypertension

Hypertension, or high blood pressure, is not typically associated with anorexia nervosa. In fact, low blood pressure (hypotension) is more common due to the decreased volume of blood in the body from insufficient nutrition.

Hypertension is more commonly associated with conditions such as obesity and metabolic syndrome.

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Correct Answer is D

Explanation

Choice A rationale:

Deflecting the client's concerns to the physician dismisses the client's immediate need for emotional support and therapeutic communication.

It can hinder the development of a trusting nurse-client relationship.

The nurse is responsible for addressing the client's psychosocial needs, not solely deferring them to other healthcare professionals.

Choice B rationale:

Offering false reassurance is inappropriate and potentially harmful. It can erode trust if the client's fears are later realized.

It minimizes the client's legitimate concerns and invalidates their emotional experience.

Choice C rationale:

While lifestyle modifications are essential for managing coronary artery disease, providing unsolicited advice at this moment disregards the client's emotional distress.

It prioritizes physical health over the client's psychological well-being. It can be perceived as dismissive of the client's fears and concerns.

Choice D rationale:

Inviting the client to elaborate on their fears demonstrates active listening and encourages therapeutic communication. It validates the client's concerns and shows empathy for their emotional experience.

It provides an opportunity to assess the client's understanding of their condition and identify specific fears or misconceptions. It establishes a foundation for exploring coping mechanisms and providing appropriate support and education.

A. A client who has depression. B. A client whose family visits him every week from out of town. C. A pregnant female client who is at 8 months gestation. D. A client who has a lot of friends.

Correct Answer is A

Explanation

A. A client who has depression - Correct.

Explanation:

Depression is a significant risk factor for suicide. Individuals with depression may experience feelings of hopelessness, helplessness, and despair, which can contribute to suicidal ideation. It is crucial for the mental health nurse to carefully assess and monitor individuals with depression for any signs of suicidal thoughts or behaviors. Prompt intervention and support are essential to address the underlying issues and mitigate the risk of suicide.

Explanation for other choices:

B. A client whose family visits him every week from out of town.

Family support is generally considered a protective factor against suicide. Regular family visits can provide emotional support and a sense of connection, reducing the risk.

C. A pregnant female client who is at 8 months gestation.

Pregnancy alone is not a direct risk factor for suicide. However, mental health issues during pregnancy, such as depression, should be assessed and addressed appropriately.

D. A client who has a lot of friends.

This scenario does not provide enough information for a clear assessment of suicide risk. Social interactions can be both protective and risk factors, depending on the individual's overall situation and support network. Further assessment would be needed to determine the significance of this factor.

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A nurse is assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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