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 C

Explanation

A. Cultural awareness: Cultural awareness involves recognizing and understanding the differences and similarities between cultures, which is not directly related to imitating co-workers.
B. Cultural sensitivity: Cultural sensitivity refers to being aware of and respectful towards the cultural differences and needs of others, not necessarily imitating co-workers.
C. Acculturation: Acculturation is the process of adapting to and adopting the cultural traits or social patterns of another group, which fits the description of Mary imitating her co-workers.
D. Cultural marginality: Cultural marginality occurs when an individual feels they do not belong to any cultural group, which is not indicated by Mary's behavior of adapting to her co-workers.

A. longitudinal study. B. appraisal tool. C. meta-analysis. D. RCT.

Correct Answer is D

Explanation

A. Longitudinal study: A longitudinal study involves repeated observations of the same variables over a period of time, but it does not necessarily include random assignment or control groups.
B. Appraisal tool: An appraisal tool is used to assess the quality of studies, not to conduct the study itself.
C. Meta-analysis: A meta-analysis combines the results of multiple studies, rather than assigning participants randomly to different groups within a single study.
D. RCT: A randomized controlled trial (RCT) involves randomly assigning participants to either an intervention group or a control group, which is the method described in the question.

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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

Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:

Correct Answer is C

Explanation

Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a(n):

Correct Answer is D

Explanation

One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)

A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following does NOT correspond with the five rights of delegation?

The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?

A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

Which of the following is most accurate regarding evidence-based practice?

With regard to nursing practice, nurse managers are held responsible for: (Select all that apply.)

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?