Nokea
When a patient with anorexia nervosa expresses a fear of weight gain, the nurse should respond by:
- A. Minimizing the patient's concerns to avoid anxiety.
- B. Encouraging weight loss to meet the patient's goals.
- C. Explaining that weight gain is part of the treatment plan.
- D. Agreeing with the patient's view on body image to reduce conflict.
Correct Answer: C
Rationale: The correct response is C: Explaining that weight gain is part of the treatment plan. This answer is correct because in treating anorexia nervosa, it is essential for patients to understand that weight gain is necessary for recovery and overall health improvement. By explaining this, the nurse can help the patient develop a more positive attitude towards weight gain and recognize it as a crucial aspect of the treatment process.
Choices A, B, and D are incorrect:
A: Minimizing the patient's concerns may invalidate their feelings and hinder therapeutic communication.
B: Encouraging weight loss would be counterproductive and reinforce the patient's negative behaviors and beliefs.
D: Simply agreeing with the patient's view on body image without addressing the need for weight gain would not promote positive change or support the patient's recovery.
You may also like to solve these questions
While planning care for a preschool child who has been physically and sexually abused, the nurse includes play therapy because it assists the child to:
- A. Act out aggression in an acceptable manner
- B. Express feelings that cannot easily be verbalized
- C. Interact with other children in the appropriate age group
- D. Learn adaptive behaviors through acting
Correct Answer: B
Rationale: The correct answer is B: Express feelings that cannot easily be verbalized. Play therapy allows preschool children to express their emotions, trauma, and experiences through play activities, as they may not have the verbal skills to communicate their feelings effectively. This form of therapy helps the child process their emotions and experiences in a safe and non-threatening environment.
Incorrect Choices:
A: Acting out aggression in an acceptable manner is not the primary goal of play therapy for abused children. It is more about emotional expression and healing.
C: Interacting with other children in the appropriate age group is not the focus of play therapy for abused children. The primary goal is to address the trauma and emotional distress.
D: Learning adaptive behaviors through acting is not the main purpose of play therapy for abused children. It is more about emotional healing and expression.
A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:
- A. Appropriately express angry feelings.
- B. Verbalize two positive things about self.
- C. Verbalize the importance of eating a balanced diet.
- D. Identify two alternative methods of coping with loneliness and isolation.
Correct Answer: D
Rationale: The correct answer is D: Identify two alternative methods of coping with loneliness and isolation.
Rationale:
1. The nursing diagnosis is Ineffective coping related to feelings of loneliness and isolation, indicating the patient struggles with coping mechanisms.
2. The desired outcome is for the patient to identify alternative coping methods, which directly addresses the ineffective coping issue.
3. By identifying two alternative methods, the patient demonstrates an understanding of healthier coping strategies.
4. This outcome focuses on addressing the root cause of the behavior (loneliness and isolation) rather than just surface-level expressions or behaviors.
Summary:
A: Appropriately expressing angry feelings does not directly address coping mechanisms related to loneliness and isolation.
B: Verbalizing positive things about oneself is beneficial but does not address the core issue of ineffective coping.
C: Verbalizing the importance of a balanced diet is important but does not directly address coping with loneliness and isolation.
A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. When the parents arrive home from work, the child's father behaves angrily. He orders his wife and son about. He finds fault with the son, asking him twice, 'Why are you such a stupid kid?' The wife tells the nurse she has difficulty disciplining the children and gets frustrated easily. The nurse desires to build some trust and continue to gather assessment data. The remark or question that would interfere with the nurse's goals is:
- A. Tell me what happens when the children misbehave.'
- B. When your baby cries, how do you get him to stop?'
- C. Caring for three young children must be difficult.'
- D. Do you or your husband ever beat the children?'
Correct Answer: D
Rationale: The correct answer is D. Asking about physical abuse can be perceived as accusatory, defensive, or judgmental, hindering trust-building and data collection. It may lead to denial or termination of communication. Choices A and B are relevant to understanding parenting skills, while C shows empathy. These questions align with the nurse's goal of assessing the family's dynamics without inciting defensiveness or shutting down communication.
A nurse is working with a patient diagnosed with bulimia nervosa. Which of the following would be considered an appropriate outcome for this patient?
- A. The patient will engage in purging behavior once a week.
- B. The patient will eat three meals a day without purging behaviors.
- C. The patient will maintain a BMI of 18.5.
- D. The patient will avoid emotional support to prevent dependence.
Correct Answer: B
Rationale: The correct answer is B because it reflects a positive outcome for a patient with bulimia nervosa. Eating three meals a day without purging behaviors indicates improved eating habits and reduced harmful behaviors. This outcome promotes physical health and addresses the underlying issues of the disorder.
Choice A is incorrect as engaging in purging behavior is not a desirable outcome for a patient with bulimia nervosa. Choice C is incorrect because focusing solely on maintaining a specific BMI does not address the psychological and behavioral aspects of the disorder. Choice D is incorrect as emotional support is essential in the treatment of eating disorders and should not be avoided to prevent dependence.
During a counseling session, the mother of one of the clients with an eating disorder states to the nurse, 'I feel like such a failure. How can I be sure my daughter has no more problems like this?' Which response is the most therapeutic?
- A. You are not responsible for your daughter's behavior.'
- B. Avoid giving advice and engaging in power struggles with your daughter.'
- C. It sounds like you are blaming yourself for your daughter's problems.'
- D. Try to ignore any problems your daughter has related to her eating disorder.'
Correct Answer: C
Rationale: Rationale:
C is the correct answer because it demonstrates empathy and reflects active listening. It acknowledges the mother's feelings without judgment and helps her explore her emotions. A: Blames the mother. B: Avoids addressing the mother's emotions. D: Dismisses the daughter's issues.