Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy?
Select one:

Assess for depression and anxiety every shift

Communicate empathy for the patient's feelings to increase rapport

Help the patient balance energy expenditure and caloric intake.

Observe for adverse eﬀects of refeeding.

Answer and Explanation

The Correct Answer is D

Refeeding syndrome is a potentially life-threatening condition that can occur when a person with anorexia nervosa begins to eat again after a period of starvation. It is important for the nurse to closely monitor the patient for signs of refeeding syndrome, such as electrolyte imbalances and ﬂuid overload, as the patient begins to gain weight.

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Correct Answer is C

Explanation

Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.

Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.

Option b. Notify the health care provider immediately and give 4 liters of ﬂuids is not an appropriate action because it involves administering ﬂuids without obtaining orders from the health care provider.

Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.

A. The nurse develops a trusting relationship with the patient. B. The patient states,” Talking to you feels like talking to my parents and uncle." C. The patient's reactions toward the nurse seem realistic and appropriate. D. The nurse feels unusually and excessively happy when the patient's mood begins to lift.

Correct Answer is B

Explanation

This statement by the patient suggests that they may be projecting their feelings, thoughts, and attitudes toward their parents and uncle onto the therapist. This projection is a common phenomenon in therapy and is known as transference. Transference occurs when a patient transfers emotions, desires, and expectations from one person to another, usually the therapist. It can be positive or negative and can aﬀect the therapeutic relationship.

Therefore, the statement "Talking to you feels like talking to my parents and uncle" is a clear indication of transference and should be carefully considered by the therapist in the ongoing therapy sessions. The therapist should explore the patient's feelings and experiences with their parents and uncle to better understand the nature of the transference and how it may be aﬀecting the therapeutic process.

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Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Correct Answer is C

Explanation

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

Correct Answer is B

Explanation

A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

A client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed? Select one:

When reviewing the admission assessment, the Registered nurse notes that a client was admitted to the mental health unit with involuntarily status. Based on this type of admission, the registered nurse should provide which intervention for this client? Select one:

A registered nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction? Select one:

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy?
Select one: