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 ["A","D","E"]
Explanation
Choice A reason: Agoraphobia is a type of phobia characterized by a fear of being in situations where escape might be difficult or that help wouldn't be available if things go wrong.
Choice B reason: Aquaphobia is a specific fear of water and is not one of the main types of phobias identified by DSM-5.
Choice C reason: Acrophobia is a fear of heights, which is a specific phobia, but not one of the three main types identified by DSM-5.
Choice D reason: Specific Phobia is a type of anxiety disorder defined by a persistent and excessive fear of an object or situation.
Choice E reason: Social Phobia, also known as Social Anxiety Disorder, is characterized by a significant amount of fear in one or more social situations, causing considerable distress and impaired ability to function in at least some parts of daily life.
Correct Answer is ["A","E"]
Explanation
Choice A reason: A bounding pulse can indicate fluid volume excess, as the heart works harder to pump the increased volume.
Choice B reason: Elevated temperature is not specifically indicative of fluid volume excess and can be related to various conditions.
Choice C reason: Warmth at the IV site may indicate an infection or inflammation, not necessarily fluid volume excess.
Choice D reason: Profuse sweating is not typically a sign of fluid volume excess; instead, it may indicate dehydration or other conditions.
Choice E reason: Crackles in the lungs can indicate fluid overload, especially in the context of excessive IV fluid administration.
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