A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
Encouraging the patient to attend group therapy.
Monitoring for thoughts of self-harm.
Preventing fluid and electrolyte imbalance.
Fostering feelings of self-respect.
The Correct Answer is C
A. Encouraging the patient to attend group therapy: While group therapy is important for long-term recovery and psychological support, it is not the immediate priority in acute care.
B. Monitoring for thoughts of self-harm: This is a critical aspect of care, but maintaining physical health through stabilizing fluid and electrolyte balance takes precedence due to the immediate life-threatening risks associated with anorexia nervosa.
C. Preventing fluid and electrolyte imbalance: Addressing fluid and electrolyte imbalances is the highest priority as these imbalances can lead to severe complications, including cardiac arrest, which is a primary concern in clients with anorexia nervosa.
D. Fostering feelings of self-respect: This goal is essential for long-term recovery, but it is secondary to immediate physical health concerns that could pose life-threatening risks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity: This approach is based on stereotypes and can lead to misunderstandings and discrimination, hindering effective management of a diverse staff.
B. Encouraging the potential in all staff: By recognizing and fostering the abilities of each individual, a nurse manager can create an inclusive environment that respects and values diversity.
C. Being conscious of the dynamics when culture interacts: Understanding how different cultures interact helps in managing conflicts and promoting effective communication and collaboration among staff.
D. Conducting a cultural self-assessment: This allows a nurse manager to reflect on their own cultural biases and improve their ability to manage a culturally diverse team.
E. Fostering unity by imposing American values upon all staff members: Imposing a single cultural perspective can lead to cultural insensitivity and resentment, negatively impacting staff morale and unity.
Correct Answer is B
Explanation
A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.
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