A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.).

Bradycardia.

Russell's sign.

Lanugo.

Hypotension.

Diarrhea.

Answer and Explanation

Correct Answer : A,B,C,D

A. Bradycardia, or a slow heart rate, is a common physiological finding in individuals with anorexia nervosa due to the body's adaptive response to conserve energy. The heart rate may drop below the normal range of 60-100 bpm.

B. Russell's sign refers to calluses or abrasions on the knuckles or back of the hand caused by self-induced vomiting. It's a physical indicator of recurrent vomiting in individuals with bulimia nervosa or severe anorexia nervosa.

C. Lanugo refers to fine, soft hair that grows on the face, back, and arms of individuals with anorexia nervosa. This is the body's attempt to increase warmth due to insufficient body fat, and it's a result of the malnutrition associated with the disorder.

D. Hypotension, or low blood pressure, is often seen in individuals with anorexia nervosa due to decreased cardiac output and volume. This can lead to dizziness, fatigue, and other cardiovascular symptoms.

E. Diarrhea is not a common finding in anorexia nervosa. Clients with anorexia nervosa are more likely to experience constipation due to malnutrition, dehydration, and the body’s reduced metabolic rate.

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Correct Answer is D

Explanation

The correct answer is Choice d. "Tell me the reasons you think your mother is depressed."

Rationale for Choice a. "Everyone gets depressed from time to time."

This response is dismissive and minimizes the daughter's concerns. It suggests that depression is not a serious condition and does not warrant professional attention.
It fails to acknowledge the daughter's feelings of worry and anxiety.
It does not gather any information about the mother's symptoms or the reasons for the daughter's concern.

Rationale for Choice b. "Older adults are usually diagnosed with depressive disorder as they age."

While it is true that depression is more common in older adults, this response does not address the daughter's concerns about her mother's specific symptoms.
It may unnecessarily alarm the daughter by suggesting that depression is an inevitable part of aging.
It does not encourage the daughter to share her observations and concerns.

Rationale for Choice c. "You shouldn't worry about this, because depressive disorder is easily treated."

This response is premature and potentially misleading. It offers reassurance without first gathering enough information to determine whether the mother is actually depressed.
It may discourage the daughter from sharing important details about her mother's condition.
It implies that treatment for depression is always simple and straightforward, which is not always the case.

Rationale for Choice d. "Tell me the reasons you think your mother is depressed."

This response is the most appropriate because it encourages the daughter to share her observations and concerns.
It demonstrates that the nurse is taking the daughter's concerns seriously.
It allows the nurse to gather more information about the mother's symptoms and the potential reasons for her depression.
It opens the door to further assessment and discussion, which are essential for accurate diagnosis and treatment planning.

A. A client who has moderate-stage Alzheimer's disease. B. A client who has schizotypal personality disorder. C. A client who has a history of alcohol use disorder. D. A client who has a history of dependent personality disorder.

Correct Answer is A

No explanation

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A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, "I'm so worried that my mother is depressed." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?

Correct Answer is A

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