A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

The client states that she knows she can't be perfect.

The client reports following various cooking blogs.

The client's current BMI is 14.

The client's potassium level is 3.2 mEq/L.

Answer and Explanation

The Correct Answer is A

The client's statement reflects a realistic and positive attitude toward recovery and a decrease in perfectionism, which is a common trait among clients with anorexia nervosa. Following cooking blogs may indicate an unhealthy obsession with food and calories. A BMI of 14 is still below the normal range of 18.5 to 24.9 and indicates severe malnutrition. A potassium level of 3.2 mEq/L is below the normal range of 3.5 to 5.0 mEq/L and indicates electrolyte imbalance.

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Correct Answer is D

Explanation

Rationalization is a defense mechanism that involves making excuses or justifying one's behavior or failures. The client who blames their boss for not getting a promotion is using rationalization to avoid accepting responsibility or acknowledging their shortcomings. The other examples are not related to rationalization, but to other defense mechanisms, such as somatization, denial, and procrastination.

A. RBC count 4.9 million/mm3 B. Hemoglobin 16 g/dL C. WBC count 8,000/mm3 D. Platelets 100,000/mm3

Correct Answer is D

Explanation

A low platelet count (thrombocytopenia) can indicate bleeding disorders, infections, or adverse effects of medications. Clonazepam can cause thrombocytopenia as a rare but serious side effect. The nurse should report this finding to the provider as it may indicate a need to discontinue or adjust the medication.

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A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory report of a client who has a panic disorder and is taking clonazepam. Which of the following laboratory results should the nurse report to the provider?

Correct Answer is D

Explanation

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