A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.).

Offer specific privileges for sustained weight gain.

Monitor the client's weight daily.

Allow the client to choose the meals she will eat.

Provide the client with small meals frequently.

Stay with the client during meals and for 1 hr afterward.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale:

Offering specific privileges for sustained weight gain might inadvertently encourage unhealthy behaviors in a client with anorexia nervosa. Rewarding weight gain with privileges could reinforce a potentially harmful mindset and approach to eating.

Choice B rationale:

Monitoring the client's weight daily is crucial in an inpatient setting for individuals with anorexia nervosa. It helps track their progress and any potential health risks associated with changes in weight. This action allows the healthcare team to intervene promptly if there are concerning fluctuations.

Choice C rationale:

Allowing the client to choose the meals she will eat is not recommended for someone with anorexia nervosa. The client's judgment about food choices is likely compromised by the disorder. A structured meal plan designed by healthcare professionals is typically used to support healthy eating habits.

Choice D rationale:

Providing the client with small meals frequently is a sound approach in the care of anorexia nervosa. This strategy can help prevent overwhelming feelings associated with larger meals and promote a more balanced intake throughout the day.

Choice E rationale:

Staying with the client during meals and for 1 hour afterward is important to prevent behaviors like purging after eating. It supports the client's physical and psychological safety during the vulnerable post-meal period.

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Correct Answer is B

Explanation

Choice A rationale:

Other than possible coordination problems, the client's psychomotor skills are not affected. Severe Intellectual Disability (ID) is characterized by significant limitations in intellectual functioning as well as adaptive behaviors. Coordination problems are not a primary characteristic of severe ID. The main focus is on cognitive and adaptive deficits.

Choice B rationale:

The client communicates wants and needs by "acting out behaviors." Severe ID can lead to challenges in effective communication. "Acting out behaviors" such as tantrums, aggression, or other disruptive actions might be the client's way of expressing themselves when they are unable to communicate verbally or effectively due to their cognitive limitations.

Choice C rationale:

The client can perform some self-care activities independently. Severe ID typically involves significant impairments in adaptive functioning, which includes self-care activities. The ability to perform some self-care activities independently is not consistent with the characteristics of severe ID.

Choice D rationale:

The client has advanced speech development. Severe ID is associated with delayed or impaired speech and language development. Advanced speech development would be contradictory to the diagnosis of severe ID, as this condition is characterized by substantial limitations in communication skills.

A. Marital skew. B. Sibling position. C. Pseudomutuality. D. Double-bind communication.

Correct Answer is B

Explanation

The correct answer is choice: B. Sibling position.

Choice A rationale:

Marital skew is not a concept associated with Bowen's family systems theory. It does not correspond to any recognized pattern in this theoretical approach.

Choice B rationale:

Sibling position is an important concept in Bowen's family systems theory. It refers to the birth order of siblings within a family and how this birth order can influence the roles and dynamics within the family unit.

Choice C rationale:

Pseudomutuality is not a concept of Bowen's family systems theory. This term does not align with the terminology or principles of this theoretical approach.

Choice D rationale:

Double-bind communication is a concept introduced by Gregory Bateson and is associated with the communication patterns within dysfunctional families. While it is related to family interactions, it is not specifically attributed to Bowen's theoretical approach.

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A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with Severe Intellectual Disability. Which of the following characteristics should the nurse recognize to be associated with Severe Intellectual Disability?

Correct Answer is B

Explanation

According to Bowen's theoretical approach to therapy, which of the following should the nurse recognize as a concept of a functional family interaction pattern?

Correct Answer is B

Explanation

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