A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?

Observe the client for 1 hr following meals.

Encourage the client to gain 2.27 kg (5 lb) per week.

Allow the client to exercise for less than 1 hr per day.

weigh the client in the morning every other day.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

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Correct Answer is A

Explanation

Choice A rationale:

Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.

Choice B rationale:

Prolonged use of steroids is not a primary risk factor for diverticular disease.

Choice C rationale:

Insufficient intake of protein is not a significant risk factor for diverticular disease.

Choice D rationale:

Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.

A. "Who do you talk to when you feel overwhelmed?" B. "Are you thinking about harming yourself?" C. "Can we talk about how your partner's death has affected you?" D. "What do you usually do to calm your thoughts?"

Correct Answer is B

Explanation

Choice A rationale:

Asking who the client talks to when overwhelmed is important, but assessing for suicidal thoughts is more urgent.

Choice B rationale:

Assessing the client's risk for harm to themselves is the priority when dealing with a person in crisis. This helps determine the need for immediate intervention to ensure their safety.

Choice C rationale:

Discussing the impact of the partner's death can be therapeutic, but ensuring immediate safety is the priority.

Choice D rationale:

Inquiring about coping strategies is important, but assessing for suicidal thoughts takes precedence.

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A nurse is developing a plan of care while admitting a client who has anorexia nervosa. Which of the following interventions should the nurse include?

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A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?