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 D

Explanation

a. "I know I can't use physical force anymore, but I can intimidate someone with my words." This indicates that the client still considers using intimidation, which is not a healthy way of managing anger or aggression.
b. "Because my wife seems to be the one to set me off, I've decided never to see her again." Avoiding a trigger rather than managing the response to it does not indicate progress in anger and aggression management.
c. "It's bad to feel as angry as I feel. I'm working on eliminating this evil feeling completely." Viewing anger as entirely negative and trying to eliminate it rather than managing it constructively does not show effective anger management.
d. "I realize I have a problem expressing my anger appropriately." This is correct because recognizing and admitting the problem is a critical first step toward making meaningful changes in managing anger and aggression.

A. "Where do you buy your food?" B. "Does someone else prepare your meals?" C. "Tell me what you eat in a typical day. D. Are you taking any medications that change your taste of foods?"

Correct Answer is C

Explanation

a. "Where do you buy your food?" While this provides information about food access, it doesn’t directly assess nutritional intake.
b. "Does someone else prepare your meals?" This might provide insight into the client's independence, but it doesn't directly assess nutritional intake.
c. "Tell me what you eat in a typical day." This directly assesses the client’s dietary intake and provides a comprehensive view of their nutrition status.
d. "Are you taking any medications that change your taste of foods?" This is relevant but more specific to one aspect of dietary intake. It does not provide a full picture of the client’s nutritional status like option c.

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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 statement, made by the client in group therapy, would demonstrate to the nurse that the client has made progress with anger and aggression management?

Correct Answer is D

Explanation

The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?

Correct Answer is C

Explanation

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