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.
weigh the client in the morning every other day.
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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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Deep breathing exercises can be a relaxation technique, but they don't directly address cognitive reframing.
Choice B rationale:
Using a journal to write down thoughts related to gambling can be useful for self-reflection, but it's not specifically a cognitive reframing technique.
Choice C rationale:
Rewarding oneself for not going to the casino can be part of a behavioral approach to managing gambling disorder, but it's not a cognitive reframing technique.
Choice D rationale:
Cognitive reframing involves identifying and replacing negative or distorted thoughts with positive and more rational thoughts. In the context of gambling disorder, this technique can help the client challenge and change the cognitive patterns that contribute to their gambling behavior.
Correct Answer is A
Explanation
Choice A rationale:
Clients with Parkinson's disease often have motor difficulties and slowed movements. Allowing extra time for activities of daily living (ADLs) can help them maintain independence and reduce frustration.
Choice B rationale:
Weight gain is not a common manifestation of Parkinson's disease or a primary concern in its management.
Choice C rationale:
Instructing the client to look down at the feet when walking is not accurate advice for Parkinson's disease. It's important to maintain an upright posture and look ahead to improve balance and gait.
Choice D rationale:
A low-protein diet is not generally recommended for clients with Parkinson's disease, as protein can affect the absorption of levodopa, a common medication used in its management.
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