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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Evaluate the quality of the research against the standards for that type of research: Assessing research quality based on established standards ensures that the study's design, methodology, and findings are reliable and valid for its particular research type.
B. Select only studies with a sample size of at least 100 people: While sample size is important, it is not the sole determinant of a study's quality. Other factors like study design, methodology, and relevance also play crucial roles.
C. Discard systematic reviews and meta-analyses since they are the weakest form of evidence: Systematic reviews and meta-analyses are actually considered high levels of evidence as they synthesize data from multiple studies, providing comprehensive insights.
D. Accept only studies that use a randomized controlled trial design: While RCTs are a gold standard for certain types of research, other study designs are also valuable and appropriate depending on the research question and context.

A. Progress through the workday without a plan. B. Put off important tasks until they feel motivated to start them. C. Only accept projects that exactly fit their specifications. D. Decline requests that are not in alignment with their priorities.

Correct Answer is D

Explanation

A. Progress through the workday without a plan: Working without a plan can lead to inefficient use of time and missed priorities, making it difficult to manage tasks effectively.
B. Put off important tasks until they feel motivated to start them: Procrastination can lead to delays and increased stress, affecting overall productivity and management effectiveness.
C. Only accept projects that exactly fit their specifications: Limiting acceptance to projects that fit exactly within specifications may hinder flexibility and the ability to address broader needs or priorities.
D. Decline requests that are not in alignment with their priorities: Prioritizing tasks and declining requests that do not align with current priorities helps manage time effectively and ensures focus on the most important tasks.

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A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is an effective approach in the appraisal of research studies?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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