A nurse is caring for a client diagnosed with anorexia nervosa and over exercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?
Reprimand the client about the potential damage that has occurred due to over exercising her body.
Praise the client for looking at herself in a mirror.
Restrict the client from being weighed.
Ask the client to agree to talk to a nurse whenever she feels the urge to exercise.
The Correct Answer is D
A. Reprimand the client about the potential damage that has occurred due to overexercising her body: Reprimanding is likely to increase feelings of guilt and shame, which can exacerbate the disorder. A supportive and empathetic approach is more beneficial.
B. Praise the client for looking at herself in a mirror: This could reinforce a negative preoccupation with body image, which is a significant aspect of anorexia nervosa. Encouraging healthy coping mechanisms is more appropriate.
C. Restrict the client from being weighed: While it is important to manage weight monitoring carefully, outright restriction without addressing the underlying issues can increase anxiety and resistance to treatment.
D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise: This helps the client develop healthier coping strategies and provides support in managing the urge to overexercise, promoting therapeutic engagement.
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Related Questions
Correct Answer is C
Explanation
A. Implementing stress management workshops for employees in a workplace: This is an example of primary prevention, which aims to reduce the risk of mental health issues by promoting healthy behaviors and coping mechanisms.
B. Promoting mental health awareness and education in the community: This also falls under primary prevention, focusing on reducing the incidence of mental health issues through education and awareness.
C. Providing counseling and therapy to individuals with diagnosed mental health disorders: This represents tertiary prevention, which focuses on managing and mitigating the impact of existing mental health conditions to improve quality of life and prevent complications or deterioration.
D. Conducting mental health screenings in schools to identify students at risk for mental health issues: This is a form of secondary prevention, which involves early identification and intervention to prevent the progression of mental health issues.
Correct Answer is D
Explanation
A. Wash the cord daily with mild soap and water. Incorrect because keeping the area dry is crucial; soap can irritate the area.
B. Cover the cord with the diaper. Incorrect because it may trap moisture and cause irritation or infection.
C. Apply petroleum jelly to the cord stump. Incorrect because this may keep the area too moist and prevent it from drying and falling off naturally.
D. Give a sponge bath until the cord stump falls off. This prevents the cord from getting wet, which can increase the risk of infection and delay drying and detachment.
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