A nurse is planning care for a client who is being admitted for treatment of anorexia nervosa. Which of the following interventions should the nurse include?
Administer methylphenidate daily.
Weigh the client twice a week.
Focus conversations around food at mealtimes.
Inform the client of the specific duration of meals.
The Correct Answer is D
A. Administer methylphenidate daily: Stimulant medications like methylphenidate are not appropriate for anorexia nervosa treatment, as they can suppress appetite and worsen weight loss. They are contraindicated in clients with this disorder.
B. Weigh the client twice a week: Weighing twice a week is insufficient for clients with anorexia nervosa. Daily, same-time, same-clothing weights are recommended to monitor progress and detect potential medical complications associated with malnutrition.
C. Focus conversations around food at mealtimes: Focusing on food can increase anxiety and reinforce preoccupations with eating. Instead, conversations should be neutral or supportive, promoting a calm and therapeutic mealtime environment.
D. Inform the client of the specific duration of meals: Setting clear expectations for meal duration helps reduce anxiety, provides structure, and supports adherence to nutritional rehabilitation. It is an effective intervention in the care plan for clients with anorexia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "This medication may cause me to experience a metallic taste in my mouth.": Lorazepam is a benzodiazepine and does not commonly cause a metallic taste. This statement reflects a misunderstanding of common adverse effects associated with the medication.
B. "This medication can cause my potassium level to decrease.": Lorazepam does not affect electrolyte levels such as potassium. Monitoring potassium is not typically necessary with this medication, so this statement is inaccurate.
C. "This medication can cause drowsiness.": Drowsiness is a common side effect of lorazepam due to its sedative properties. Understanding this effect helps the client anticipate and manage daytime sleepiness and avoid activities requiring alertness, demonstrating correct comprehension of teaching.
D. "This medication may cause me to lose weight.": Lorazepam is not associated with weight loss. Clients should be informed about the expected side effects, and weight changes are not typical with this medication, making this statement incorrect.
Correct Answer is D
Explanation
A. "I feel emotionally numb and no longer leave the house.": This statement reflects complicated or prolonged grief, characterized by social withdrawal, emotional numbness, and difficulty functioning. It may indicate the need for additional support or referral to mental health services rather than a typical grief response.
B. "I think a part of me died with them. I feel empty inside.": While feelings of emptiness are common in grief, expressing a sense of self-loss that is pervasive and debilitating can suggest a more complicated grief process. It requires careful assessment and monitoring rather than being considered a fully appropriate grief response.
C. "I lost trust in health care professionals since they died.": This statement indicates anger, mistrust, or possible blame associated with grief. While emotional reactions vary, a persistent sense of mistrust can interfere with adaptive coping and may require guidance and support to process feelings constructively.
D. "I am sad but recognize that this was a blessing for them.": This statement demonstrates an adaptive grief response, acknowledging sadness while also finding meaning or acceptance in the situation. It reflects the ability to process loss realistically, maintain perspective, and integrate the experience into ongoing life.
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