A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

Demand that the client remove hidden objects from their clothing prior to being weighed.

Invite the client to predict their weight beforehand.

Monitor for any extra fluids the client may have consumed prior to being weighed.

Weigh the client each day after their evening meal.

Answer and Explanation

The Correct Answer is B

A. Demand that the client remove hidden objects from their clothing prior to being weighed. While it is important to ensure accurate weight measurement, demanding removal of hidden objects may create a confrontational atmosphere and increase anxiety for the client. A more supportive approach is beneficial in this setting.
B. Invite the client to predict their weight beforehand. Encouraging clients to predict their weight can help engage them in the process and promote a sense of control. This approach may also facilitate a therapeutic conversation about their feelings regarding weight and body image.
C. Monitor for any extra fluids the client may have consumed prior to being weighed. While monitoring fluid intake is important in the overall care of clients with eating disorders, it is not a standard practice to monitor this immediately before weighing unless there is a specific concern about fluid retention or overhydration.
D. Weigh the client each day after their evening meal. Weighing clients daily can contribute to anxiety and unhealthy focus on weight. It is generally more effective to establish a consistent weighing schedule that minimizes distress, such as weekly or bi-weekly measurements, rather than immediately following meals.

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Correct Answer is B

Explanation

A. Diagnosis typically occurs after 40 years of age. This statement is inaccurate; schizophrenia most commonly manifests in late adolescence to early adulthood, typically between the ages of 18 and 30.
B. The need for resources increases as the disease progresses into adulthood. As schizophrenia progresses, individuals often require additional support and resources, including therapy, medication management, and community services, to manage symptoms and improve functioning.
C. Co-occurring mental health illnesses are rarely diagnosed. This statement is not accurate; individuals with schizophrenia often have co-occurring mental health disorders, such as depression, anxiety, or substance use disorders, which can complicate treatment and management.
D. Life expectancy is greater than the general population. This statement is incorrect; individuals with schizophrenia generally have a reduced life expectancy compared to the general population, often due to factors such as higher rates of comorbid conditions, lifestyle factors, and suicide risk.

A. A history of self-injurious behavior B. A history of schizophrenia C. Borderline personality disorder D. History of trauma during the developmental years

Correct Answer is D

Explanation

A. A history of self-injurious behavior. While self-injurious behavior can be associated with various mental health conditions, it is not specifically identified as a risk factor for dissociative identity disorder (DID).
B. A history of schizophrenia. Schizophrenia is a distinct mental health disorder characterized by psychotic symptoms, and while individuals with schizophrenia may experience dissociation, it is not considered a direct risk factor for DID.
C. Borderline personality disorder. While there is some overlap between symptoms of borderline personality disorder and dissociative symptoms, having borderline personality disorder itself is not a primary risk factor for developing DID.
D. History of trauma during the developmental years. A significant risk factor for dissociative identity disorder is a history of severe trauma or abuse during childhood, particularly chronic emotional, physical, or sexual abuse. This trauma can disrupt normal psychological development and contribute to the fragmentation of identity characteristic of DID.

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A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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