The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?

"Where do you buy your food?"

"Does someone else prepare your meals?"

"Tell me what you eat in a typical day.

Are you taking any medications that change your taste of foods?"

Answer and Explanation

The Correct Answer is C

a. "Where do you buy your food?" While this provides information about food access, it doesn’t directly assess nutritional intake.
b. "Does someone else prepare your meals?" This might provide insight into the client's independence, but it doesn't directly assess nutritional intake.
c. "Tell me what you eat in a typical day." This directly assesses the client’s dietary intake and provides a comprehensive view of their nutrition status.
d. "Are you taking any medications that change your taste of foods?" This is relevant but more specific to one aspect of dietary intake. It does not provide a full picture of the client’s nutritional status like option c.

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Correct Answer is B

Explanation

a. decrease anxiety and ignore all the alternate personalities. Ignoring alternate personalities is not a therapeutic goal and could lead to further distress and fragmentation.
b. blend all the personalities into one. The primary goal of therapy for Dissociative Identity Disorder (DID) is often to integrate the separate identities into one cohesive identity, facilitating overall functioning and stability.
c. prevent social isolation: While preventing social isolation is important, it is not the primary therapeutic goal specific to DID.
d. forget the past trauma: The goal is not to forget the past trauma but to integrate and process traumatic memories in a healthy way, reducing the impact on the individual's functioning.

A. restating B. maintaining neutral responses. C. listening D. asking the client, "Why?"

Correct Answer is D

Explanation

a. restating: Restating involves repeating the client's message to ensure understanding and encourage further communication. It is a therapeutic technique.
b. maintaining neutral responses. Neutral responses can be therapeutic as they provide nonjudgmental listening and support.
c. listening: Active listening is a fundamental therapeutic communication technique, essential for understanding the client's concerns and building rapport.
d. asking the client, "Why?" Asking "Why?" can be non-therapeutic as it may make the client feel defensive and pressured to justify their feelings or actions. It can hinder open communication.

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The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with Dissociative Identity Disorder. What would be the goal of therapy for this client? To:

Correct Answer is B

Explanation

A nurse working in a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. All of the following are therapeutic communication techniques except:

Correct Answer is D

Explanation

If a client demonstrates transference towards the nurse, how should the nurse respond?

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