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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Correct Answer is A

Explanation

A. Word salad refers to a jumble of incoherent words and phrases without logical connection, as seen in the patient’s statement.
B. Echolalia is the repetition of another person’s spoken words, not unrelated word combinations.
C. Neologism is the invention of new, made-up words, not a random string of real words.
D. Anhedonia is the inability to experience pleasure, not a speech disturbance.

A. communication disorder. B. Attention Deficit Hyperactive Disorder (ADHD). C. intellectual development disorder. D. stereotypic movement disorder.

Correct Answer is B

Explanation

A. Communication disorders involve difficulties with speech, language, or communication (e.g., stuttering, limited vocabulary). The main problem here is hyperactivity, not speech/language impairment.

B. ADHD is characterized by inattention, hyperactivity, and impulsivity. Behaviors such as being in constant motion, excessive talking, lack of sustained interest in activities, and getting up early with energy are hallmark signs of hyperactive/impulsive type ADHD.

C. Intellectual development disorder (formerly mental retardation) involves below-average intellectual functioning and impaired adaptive skills, not constant hyperactivity and excessive talking.

D. Stereotypic movement disorder is repetitive, purposeless motor behavior (e.g., hand flapping, head banging), not generalized hyperactivity and impulsivity.

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