An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments (one week between first and second appointment), the patient gained B pounds. The nurse should

assess lung sounds and extremities.

positively reinforce the patient for the weight gain.

establish a higher goal for weight gain the next week.

suggest use of an aerobic exercise program.

Answer and Explanation

The Correct Answer is B

A. Assessing lung sounds and extremities is not a priority in this context unless there are signs of fluid overload or other complications; it does not address the psychosocial aspect of anorexia recovery.

B. Positive reinforcement encourages the patient’s healthy behaviors and progress, helping to build motivation and self-esteem during the challenging refeeding process. Recognizing the patient’s achievement supports therapeutic engagement and adherence to treatment goals.

C. Immediately establishing a higher weight gain goal may increase anxiety or pressure on the patient, potentially undermining adherence and progress. Goals should remain realistic and individualized.

D. Suggesting aerobic exercise is inappropriate at this stage of refeeding, as excessive activity can interfere with weight restoration and may reinforce disordered behaviors.

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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

A. Children with autism spectrum disorder (ASD) often demonstrate delayed or impaired language development.
B. Consistent limit testing is more characteristic of oppositional defiant disorder (ODD), not ASD.
C. A short attention span is more typical of ADHD, not ASD.
D. Repetitive motor behaviors (e.g., spinning toys, flapping hands) are hallmark features of ASD.
E. Ritualistic or rigid routines/behaviors are common in ASD, and disruptions may cause significant distress.

A. Confer with the health care provider to consider use of seclusion for this patient. B. Hold a staff meeting to discuss consistency and limit-setting approaches. C. Explain to the patient that the behavior is unacceptable. D. Conduct a meeting with all staff and patients to discuss the behavior.

Correct Answer is B

Explanation

A. Seclusion is a last-resort intervention, not an initial step.
B. Staff meetings to ensure consistent approaches, structure, and limit-setting prevent staff fatigue, reduce defensiveness, and provide therapeutic consistency for the client.
C. Confronting the patient directly about unacceptable behavior may escalate agitation and is not the most effective prevention strategy.
D. Group discussions with patients about one individual’s behavior would be inappropriate and non-therapeutic.

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An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments (one week between first and second appointment), the patient gained B pounds. The nurse should

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply).

Correct Answer is ["A","D","E"]

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Correct Answer is B

Explanation

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