After complaining of weakness and confusion while at school, a 16-year-old girl was admitted to the hospital where admission assessments revealed hypokalemia. The girl's friends and family strongly suspect that she has bulimia nervosa
In planning her nursing care and treatment, which of the following outcomes should be prioritized?
A) The client will verbalize fears relating to her health needs.
B) The client will acknowledge self-harm thoughts.
C) The client will be free of self-induced vomiting.
D) The client will identify alternatives to current coping patterns.
Ans: C
The client's self-induced vomiting is the direct cause of her present health crisis. There is no evidence of fear or deliberate self-harm in this client's case. The client likely has ineffective coping skills, but the immediacy of the need to prevent any subsequent vomiting supersedes her need to develop new coping skills.
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