The client is diagnosed with bulimia nervosa. What is the most appropriate nursing intervention that focuses on purging behaviors?
1. Provide frequent small meals.
2. Weigh the client after eating.
3. Observe the client for at least one hour after meals.
4. Have the nurse eat with the client.
3
Rationale: Observe the client for at least one hour after meals to prevent purging. Eating with the client, weighing the client after eating, or providing frequent meals are not as effective as observation after meals.
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Which of the following describes the process of identifying a nursing diagnosis?
a. Selecting a nursing diagnosis from a list approved by the North American Nursing Diagnosis Association (NANDA) b. Identifying the patient's strengths and weaknesses c. Setting goals for nursing care d. Reviewing medical-surgical nursing texts for patterns of disease processes
A community health nurse is participating in a health forum that has been organized by a local community group. When addressing the topic of breast cancer, what should the nurse teach participants about the risk factors for the disease?
A) "It's important to get regular, physical exercise because inactivity has been linked to breast cancer." B) "Quitting smoking is one of the most important things you can do to reduce your risk of breast cancer." C) "If your mother, grandmother, or sister had breast cancer, you likely have a higher-than-average risk." D) "It's in your best interests to eat a healthy, well-balanced diet in order to lower your risk of breast cancer."
You are caring for a patient 2 days post-op of removal of a large squamous cell carcinoma of the neck. While you are doing discharge teaching, the patient asks, "Is my cancer going to spread to other parts of my body?"
What is your best response? A) "It is highly likely that this type of cancer will spread." B) "Squamous cell carcinoma of the head and neck usually does not spread to distant sites in the body." C) "You will have to speak to your oncologist about that." D) "Squamous cell carcinoma is nothing to be concerned about, so don't worry."
Which will the nurse include in the family assessment for the postpartum client? Select all that apply
1. Parental roles 2. Bonding behaviors 3. Sibling adjustment 4. Signs and symptoms of infection 5. Level of comfort with newborn care