A nurse is caring for a client with an eating disorder. The nurse is aware which findings are commonly associated with clients who have anorexia? (Select All that Apply.)

Increased metabolic rate

Decreased heart rate and blood pressure

Fear of weight gain

Excessive thirst and frequent urination

Excessive weight loss

Answer and Explanation

Correct Answer : B,C,E

A. Increased metabolic rate: Anorexia typically results in a decreased metabolic rate due to malnutrition and a significant reduction in energy intake.

B. Decreased heart rate and blood pressure: Malnutrition and dehydration associated with anorexia can lead to bradycardia and hypotension.

C. Fear of weight gain: A hallmark of anorexia nervosa is an intense fear of gaining weight and a persistent behavior to avoid weight gain.

D. Excessive thirst and frequent urination: These symptoms are not typically associated with anorexia and are more characteristic of conditions such as diabetes.

E. Excessive weight loss: Significant weight loss is a primary feature of anorexia nervosa, often leading to severe underweight status and associated health complications.

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Correct Answer is B

Explanation

A. Rotate staff to prevent caregiver role strain: Consistency in caregivers is crucial for dementia patients to minimize confusion and anxiety. Frequent changes in caregivers can be unsettling for them.

B. Limit the client's choices for daily activities: Simplifying choices helps to reduce decision-making pressure and confusion, which can be beneficial for dementia patients.

C. Provide a cognitively stimulating environment: While cognitive stimulation is beneficial, it must be balanced with the need for a calm, non-overstimulating environment to avoid overwhelming the patient.

D. Use confrontation to manage negative behavior: Confrontation is generally not effective and can increase agitation and confusion in dementia patients. Non-confrontational approaches are preferred.

A. Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities. B. Convince the child to disclose the cause of the injuries through gentle questioning and persuasion. C. Respect the child's privacy and wait for them to share information about the injuries voluntarily. D. Document and discuss the observations with the child's teacher to gather more information.

Correct Answer is A

Explanation

A. Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities: This is the correct approach according to child protection guidelines. School personnel are mandated reporters and must report suspected abuse or neglect to protect the child's safety.

B. Convince the child to disclose the cause of the injuries through gentle questioning and persuasion: This approach can inadvertently pressure the child and is not recommended as it may lead to further distress or inaccurate information.

C. Respect the child's privacy and wait for them to share information about the injuries voluntarily: While respecting privacy is important, child protection takes precedence when there are signs of abuse or neglect.

D. Document and discuss the observations with the child's teacher to gather more information: While documentation is important, it should not delay reporting suspected abuse or neglect to the appropriate authorities.

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A nurse is caring for a client with an eating disorder. The nurse is aware which findings are commonly associated with clients who have anorexia? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

Which is an evidence-based approach for further assessment by a school nurse, who notices bruises and scars on a 5-year-old child's body, but the child refuses to disclose how they received them?

Correct Answer is A

Explanation

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