While planning care for a client with anorexia nervosa, the nurse determines that a realistic outcome would be that the client will:

verbalize the importance of adequate nutrition within a few weeks.

eat 100% of the diet including snacks within two days.

gain 10 pounds by the end of the week.

consume a high-calorie diet in the first day.

Answer and Explanation

The Correct Answer is A

a. Recovery from anorexia nervosa is a marathon, not a sprint. Setting small, achievable goals like understanding the importance of nutrition is crucial for initial progress.
b. Aiming for immediate, perfect dietary adherence is unrealistic and can be discouraging. Building healthy eating habits takes time and support.
c. Unrealistic weight gain goals can be demotivating and potentially harmful. Weight gain should be gradual and monitored by a healthcare professional.
d. A sudden high-calorie diet can be overwhelming for someone with a restricted eating pattern and could lead to gastrointestinal distress.

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Correct Answer is A

Explanation

a. Client and staff safety: This is correct because ensuring the safety of both the client and staff is the top priority, especially in cases of reported aggression.
b. Medication compliance: While medication compliance is important, it is secondary to ensuring immediate safety in this scenario.
c. Client education: Client education is valuable but may not be the immediate priority when safety concerns are present.
d. Group participation: While group participation may be beneficial for the client's treatment, it is not the priority when safety issues are at stake.

A. Encourage the client to ignore these thoughts and feelings. B. Promote safety and immediately terminate the relationship with the client. C. Immediately reassign the client to another staff member. D. Help the client to clarify the meaning of the relationship, based on the present situation.

Correct Answer is D

Explanation

a. Encourage the client to ignore these thoughts and feelings: This invalidates the client's experience and might hinder the therapeutic relationship.
b. Promote safety and immediately terminate the relationship with the client: Termination is a last resort, and transference can be a valuable tool for therapy if addressed constructively.
c. Immediately reassign the client to another staff member: This avoids the issue and doesn't address the underlying cause of transference.
d. Help the client to clarify the meaning of the relationship, based on the present situation. (Correct) Transference is a phenomenon where a client unconsciously redirects emotions and feelings from significant figures in their past onto the nurse. A therapeutic response involves acknowledging these feelings and helping the client explore them in a safe and supportive environment

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While planning care for a client with anorexia nervosa, the nurse determines that a realistic outcome would be that the client will:

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Naxlex Comprehensive Predictor Exams

Which should the mental health nurse identify as the priority for a newly admitted client who was involuntarily committed after reports by a co- worker of aggressive behavior?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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