A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?
Serve individual items that have sealed packaging.
Serve warm foods that arrive from the kitchen with lids in place.
Serve the same food that other clients in the dining room are eating.
Serve the client's favorite foods in an attractive arrangement.
The Correct Answer is A
Choice A reason: Serving food in sealed packaging can help alleviate the client's fears of poisoning, as the intact seals provide visual assurance that the food has not been tampered with.
Choice B reason: While serving warm foods with lids may keep the food warm, it does not necessarily provide the same level of reassurance against the fear of poisoning as sealed packaging does.
Choice C reason: Serving the same food as others may not be effective if the client's delusions include beliefs that they are being specifically targeted.
Choice D reason: Although serving the client's favorite foods in an attractive arrangement may be appealing, it does not address the specific paranoid delusion of food being poisoned.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Legs in adduction can increase the risk of dislocation after hip replacement surgery.
Choice B reason: Flexing the hip more than 90 degrees can also increase the risk of dislocation.
Choice C reason: Internal rotation of the leg can lead to dislocation of the new hip joint.
Choice D reason: Maintaining the legs in abduction helps to stabilize the hip and prevent dislocation.
Correct Answer is B
Explanation
Choice A reason: Providing a pillow to brace the incision is a recommended practice to support the incision during coughing or movement.
Choice B reason: Instructing the patient to perform deep coughing every 30 minutes is a standard postoperative care practice to prevent atelectasis.
Choice C reason: Having the patient sit up and lean forward can help with breathing and comfort after surgery.
Choice D reason: Giving pain medication prior to coughing is actually a recommended practice to reduce pain and facilitate effective coughing.
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