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

Encourage the client to gain 2.3 kg (5 lb) per week.

Weigh the client once per week throughout hospitalization.

Monitor the client for 1 hr after meals.

Allow the client to choose meal times.

Answer and Explanation

The Correct Answer is C

A. Encouraging the client to gain 2.3 kg (5 lb) per week may be excessive and unrealistic, potentially contributing to feelings of failure and exacerbating the client's condition.

B. Weighing the client once per week throughout hospitalization is important for monitoring weight changes, but it does not specifically address the immediate post-meal monitoring needed to prevent complications such as purging.

C. Monitoring the client for 1 hr after meals helps prevent behaviors such as purging or other forms of compensatory behaviors that may occur immediately after eating.

D. Allowing the client to choose meal times may not be appropriate as it can perpetuate disordered eating patterns. Establishing regular meal times is important for promoting consistent eating habits.

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Correct Answer is C

Explanation

A. Varenicline is a medication used for smoking cessation, not for treating gambling disorder.

B. Disulfiram is a medication used to discourage alcohol consumption by inducing unpleasant side effects if alcohol is consumed; it is not used for treating gambling disorder.

C. Sertraline is a selective serotonin reuptake inhibitor (SSRI) antidepressant that has been shown to be effective in treating gambling disorder by reducing gambling urges and behaviors.

D. Clonidine is an alpha-2 adrenergic agonist used to treat conditions such as hypertension and attention deficit hyperactivity disorder (ADHD); it is not typically used for treating gambling disorder.

A. Delegates creation of a client's teaching plan to a licensed practical nurse B. Completes activities for one client before moving to the next client C. Focuses on activities rather than objectives D. Skips break times to catch up on charting

Correct Answer is B

Explanation

A. Delegating tasks to appropriate personnel is an important skill, but effective time management also involves personal task completion.

B. Completing activities for one client before moving to the next helps ensure tasks are not left incomplete and promotes organized workflow.

C. Focusing on objectives rather than just activities is a more comprehensive approach to time management, ensuring tasks align with goals.

D. Skipping break times can lead to burnout and decreased efficiency over time, rather than improving time management skills.

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

Nursing Test Bank

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