Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?

The client will eat nutritious meals in the hospital cafeteria.

The client will verbalize feelings of a positive self-esteem.

The family will communicate their love and concern to the client.

The entire family will attend family therapy sessions regularly.

Answer and Explanation

The Correct Answer is D

A: While eating nutritious meals is important for recovery, it is not the highest priority because it addresses a physical need without directly addressing the underlying psychological issues.
B: Positive self-esteem is crucial for the recovery from anorexia nervosa. It addresses the core psychological challenges of the disorder, helping the client to develop a healthier self-image and relationship with food.
C: Communication of love and concern by the family is supportive, but it does not directly facilitate the client's personal development of self-esteem and self-worth, which are essential for long-term recovery.
D: Family therapy is beneficial for systemic healing and support, but the individual's self-esteem needs to be established as a priority to empower personal change and recovery.

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Correct Answer is B

Explanation

Choice A Rationale: While talking to a social worker could be beneficial, it may not address the client's immediate need for safety and comfort. Social work intervention is important, but the priority is to ensure the client feels secure in the current environment.
Choice B Rationale: Offering a safe place to relax is crucial as it addresses the client's immediate need for safety and security. Feeling safe can help reduce anxiety and allows the client to compose themselves before discussing their concerns in detail.
Choice C Rationale: Assuring an interview with the healthcare provider is important, but it does not prioritize the client's immediate emotional and psychological needs. The assurance of care is part of the overall treatment plan but is secondary to providing a safe environment.
Choice D Rationale: Asking the client to describe the stalker is part of the assessment process, but it is not the most important initial action. The client's immediate emotional state must be stabilized before any detailed information gathering can be effective.

A. Body mass index of 21. B. Blood pressure of 110/70 mm Hg. C. Potassium level of 2.9 mEq/dl (2.9 mmol/L). D. WBC of 10,000/mm3 (10 x 109/L).

Correct Answer is C

Explanation

Choice A rationale: A body mass index (BMI) of 21 is within the normal range and does not require immediate notification to the healthcare provider.

Choice B rationale: A blood pressure of 110/70 mm Hg is within the normal range for an adolescent and does not require immediate notification.

Choice C rationale: A potassium level of 2.9 mEq/dL (2.9 mmol/L) is below the normal range (hypokalemia) and requires notification to the healthcare provider due to the potential for adverse effects on cardiac and neuromuscular function.

Choice D rationale: A WBC of 10,000/mm3 (10 x 109/L) falls within the normal range and does not require immediate notification.

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Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client, who is wearing dirty clothes and has a foul body odor, comes to the clinic reporting feeling scared because of a stalker. Which action is most important for the nurse to take?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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