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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Paroxetine (Paxil) is an SSRI antidepressant and is not a first-line treatment for ADHD.
B. Imipramine (Trofanil) – This tricyclic antidepressant is rarely used for ADHD and is not considered standard therapy.
C. Carbamazepine (Tegretol) – This is an anticonvulsant used for seizure disorders and mood stabilization, not ADHD.
D. Methylphenidate (Ritalin) is a central nervous system stimulant and is the most commonly prescribed medication for ADHD. It helps increase attention span, decrease impulsivity, and reduce hyperactivity, which is why teaching for parents would focus on this medication.
Correct Answer is C
Explanation
A. Magical thinking involves believing that one’s thoughts or actions can cause events to occur in a way that defies logic (e.g., thinking stepping on a crack will break someone’s leg), which is not evident here.
B. Associative looseness refers to fragmented, disorganized, or illogical thinking that affects speech, not the perception of others’ behavior.
C. Ideas of reference occur when a person believes that unrelated events or actions of others are directed at them personally. In this scenario, the client interprets the group’s laughter as being about them, which exemplifies this characteristic.
D. Delusions of grandeur involve exaggerated beliefs about one’s own importance, power, or identity, which does not apply in this situation.
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