The nurse plans care for a client with anorexia nervosa. Which should the nurse identify as a focus for this client?
a. High-calorie, high-fat foods to promote weight gain
b. Emphasize a strict eating program and daily exercise
c. Improvement in eating behaviors and psychological and emotional health
d. Quick weight gain and providing a comprehensive explanation of the problem
c. Improvement in eating behaviors and psychological and emotional health
Weight gain of 0.5 to 1 pounds/week for outpatients and 2 to 3 pounds/week for inpatients is recommended. More rapid weight gain will result in increased fat stores rather than accumulation of lean body mass. The long-term goal of treatment should focus on improvement of eating behaviors and psychological and emotional health. Clients should be encouraged to eat a balanced diet of foods individualized to their preference and exercise only in moderate amounts to regain strength. Foods should be chosen for nutritional value rather than providing foods with empty calories.
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The teacher has referred a 10-year-old boy to the school nurse. The school nurse knows that the child is an only child with a single mother who works full time and is going to school
Which additional finding would the nurse identify as putting the child at risk for mental health issues? 1. The child is well nourished, wears glasses, and wears clothing styles that matches the other boys in his class. 2. The boy has a grandmother, aunts, and several cousins living nearby. 3. The family attends church on a regular basis. 4. The child is not involved in community social activities and does not play sports. The child states he plays video games at home after school.
The nurse is suctioning a client who is unable to expectorate respiratory secretions. At which point does the nurse expect the client to experience coughing?
A) When the catheter reaches the back of the pharynx B) When the catheter enters the main bronchus of the lung C) When the catheter reaches the point of the carina D) When the catheter tickles the uvula
A student nurse is presenting a teaching section for the class on opiates. The student is comparing the potencies of morphine sulfate and fentanyl (Duragesic)
Which of the following statements by the student should be included in her teaching session? a. Morphine sulfate elicits a greater response at a smaller dose. b. Morphine sulfate and fentanyl have about equal potency, depending on the route of administration. c. Potency indicates a higher dose and stronger response. d. Fentanyl is more potent than morphine sulfate
A client is concerned about whether private matters shared between the client and the health care workers will be disclosed to others
The nurse understands that the act of limiting disclosure of a client's private matters is known as which of the following? a. Privacy c. Confidentiality b. Security d. Identifier