Which major health complication is associated with a client diagnosed with anorexia nervosa, does the nurse assess as a priority?

glucose intolerance resulting in hypoglycemia.

endocrine imbalance causing amenorrhea.

decreased metabolism causing cold intolerance.

cardiac dysrhythmia resulting in cardiac arrest.

Answer and Explanation

The Correct Answer is D

a. Hypoglycaemia can occur, but it is not as immediately life-threatening as cardiac dysrhythmia.
b. Endocrine imbalance and amenorrhea are significant but not usually immediately life-threatening.
c. Cold intolerance due to decreased metabolism is uncomfortable but not immediately life-threatening.
d. Cardiac dysrhythmias are a major health complication of anorexia nervosa due to electrolyte imbalances, particularly hypokalaemia, which can lead to cardiac arrest. This is a life-threatening condition that needs to be monitored closely.

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Correct Answer is D

Explanation

a. "Why are you concerned about these types of questions?"
This response can seem confrontational and might increase the client's defensiveness.
b. "We can skip these questions, if you like. It isn't imperative that we complete this section."
Skipping the questions can lead to an incomplete assessment, and it does not address the client's concern.
c. "It is just a routine part of our assessment. All clients are asked these same questions."
While this is true, it does not explain the importance of the questions and may seem dismissive.
d. "Psychological factors like excessive stress have been found to affect medical conditions."
This response explains the rationale behind the questions and how they relate to the client's overall health, potentially helping the client understand the importance of a holistic assessment.

A. "You feel that your mother does not want you to come back home?" B. "It's quite common for clients to feel that way after a lengthy hospitalization." C. "Why don't you talk to your mother? You may find out she doesn't feel that way." D. Your mother seems like an understanding person. I'll help you approach her."

Correct Answer is A

Explanation

a. "You feel that your mother does not want you to come back home?" This response uses reflection, a therapeutic communication technique, to encourage the client to express and explore their feelings further.
b. "It's quite common for clients to feel that way after a lengthy hospitalization." While this normalizes the client's feelings, it might dismiss the client's unique emotional experience and does not invite further exploration.
c. "Why don't you talk to your mother? You may find out she doesn't feel that way." This response provides a solution but does not address the client's current emotional state or encourage them to express their feelings.
d. "Your mother seems like an understanding person. I'll help you approach her." This response makes an assumption about the mother and shifts the focus away from the client’s feelings.

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Which major health complication is associated with a client diagnosed with anorexia nervosa, does the nurse assess as a priority?

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Naxlex Comprehensive Predictor Exams

During a client intake assessment, the nurse asks both physiological and psychosocial questions. The client angrily responds, "I'm here for my heart, not my head problems." What is the nurse's best response?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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