A nurse is educating the family of an adolescent client with anorexia nervosa about the issues surrounding this eating disorder. Which statement made by the parent indicates that the education is effective?
"The behavior our child exhibits, such as not eating, are ways that allow our child to feel control."
"This is a phase our child is going through, and when they get hungry enough, they will eat."
"Our child must be having some problems identifying their sexual identity, and this is how it is expressed."
"We have a codependent relationship with our child and enable the behaviors exhibited."
The Correct Answer is D
Choice A reason: This statement reflects a partial understanding of the control issues associated with anorexia but does not indicate a full understanding of the disorder's complexity or the family's role in recovery.
Choice B reason: This statement suggests a lack of understanding of anorexia nervosa, as it is not a phase but a serious mental health condition that requires professional treatment.
Choice C reason: While issues with sexual identity can be stressful, they are not typically the cause of anorexia nervosa, which is characterized by an intense fear of gaining weight and a distorted body image.
Choice D reason: Recognizing a codependent relationship and the enabling of unhealthy behaviors shows an understanding of the dynamics that can contribute to the maintenance of an eating disorder like anorexia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A: The narcotic count is incorrect when the nurse ends the shift
An incorrect narcotic count at the end of a shift is a serious issue that could indicate potential drug diversion. It's crucial for nurses to accurately count and document narcotics to ensure patient safety and maintain legal and ethical standards. Therefore, this behavior should be reported to the nurse manager.
Choice B: The nurse has poor hygiene practices and has an offensive body odor
While poor hygiene and offensive body odor can be disruptive and unpleasant in a workplace setting, they are not direct indicators of substance use disorder. However, it's important to note that changes in personal hygiene can sometimes be a sign of other health or personal issues.
Choice C: The observing nurse finds oral narcotics blister packs torn in the back
Finding torn narcotics blister packs could indicate that a nurse is diverting drugs for personal use. This is a serious violation of nursing practice and should be reported immediately.
Choice D: The clients are reporting a lack of pain control when the nurse is working
If patients consistently report a lack of pain control when a specific nurse is working, it could suggest that the nurse is not administering the prescribed pain medications properly¹?¹?¹?¹?¹?. This could be due to a variety of reasons, including potential drug diversion, and should be reported.
Choice E: The nurse administers narcotics and then goes to use the bathroom
Frequent bathroom breaks immediately after administering narcotics could be a red flag for drug diversion. While there could be other explanations, this behavior in the context of the other signs could indicate a substance use disorder and should be reported.
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Ongoing communication with team members is essential in managing care for clients with personality disorders, as it ensures consistency and support among caregivers.
Choice B reason: Solving clients' problems is a goal, but it is not a technique to manage the nurse's frustration.
Choice C reason: Recognizing that behavior changes can occur quickly allows the nurse to adjust care plans promptly and may reduce frustration.
Choice D reason: It is not advisable to consider clients as personal friends, as this can blur professional boundaries and potentially lead to frustration.
Choice E reason: Discussing feelings of anger or frustration with colleagues can provide a support system for the nurse, helping to manage stress and prevent burnout.
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