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The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client becomes agitated when asked questions and inquires why so many questions are being asked. What are the best actions for the nurse to take to obtain the necessary data? Select all that apply.

Persistently ask the same question until answered.

Give the client ample time to answer the questions asked.

Ask simple questions instead of compound questions.

Provide simple explanations to the client as often as required.

Take frequent breaks during the interview process.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A reason: Persistently asking the same question can increase agitation in clients with dementia.

Choice B reason: Allowing ample time for responses can reduce pressure and agitation in clients with dementia.

Choice C reason: Simple questions are easier for clients with dementia to understand and respond to.

Choice D reason: Providing simple explanations can help clients with dementia understand the purpose of the questions.

Choice E reason: Taking frequent breaks can help prevent fatigue and agitation during the assessment process.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.

Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.

Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.

Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.

Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.

A. Electrolyte imbalance due to excessive laxative use. B. A sudden cardiac event unrelated to Bulimia Nervosa. C. An accidental fall causing unconsciousness. D. A reaction to another medication.

Correct Answer is A

Explanation

Choice A reason: Bulimia Nervosa often involves behaviors such as excessive laxative use, which can lead to severe electrolyte imbalances, potentially causing unconsciousness.

Choice B reason: While a sudden cardiac event is possible, it is less likely to be directly related to the history of Bulimia Nervosa and laxative use.

Choice C reason: There is no indication that an accidental fall occurred, and it would not be directly related to the history of laxative use.

Choice D reason: Without further information, it is speculative to attribute the unconsciousness to a reaction to another medication.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["A","B","C","D"]

Explanation

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa and finds the client unconscious on the floor with a history of using laxatives, what is the most likely cause of the client's current state?

Correct Answer is A

Explanation

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

Which is a psychosocial explanation for the development of personality disorders?

When engaging with clients, which techniques should the nurse avoid using to foster more therapeutic responses? Select all that apply.

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

A client is seeking relief for undiagnosed pain. There is no history of significant physical illness or injury. The history reveals that the client was laid off 4 months ago from a job. Which statement made by the client would most strongly suggest a somatoform disorder?

A nurse is providing care to a client with a situational phobia. Which techniques would the nurse most likely include as an intervention in the client's plan of care? (Select all that apply.)

The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?