When a nurse finds a patient with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, the nurse should state:
a. "You and I will have to sit down and discuss this problem."
b. "It bothers me to see you exercising. You'll lose more weight."
c. "Let's discuss the relationship between exercise and weight loss and how that affects your body."
d. "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."
ANS: D
A matter-of-fact statement that the nurse's perceptions are different helps avoid a power struggle. Treatment plans have specific goals for weight restoration. Exercise is limited to promote weight gain. Patients must be held accountable for required behaviors.
You might also like to view...
A nurse is teaching a client with multiple sclerosis who is prescribed cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement should the nurse include in this client's discharge teaching?
a. "Take warm baths to promote muscle relaxation." b. "Avoid crowds and people with colds." c. "Relying on a walker will weaken your gait." d. "Take prescribed medications when symptoms occur."
The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. What is the purpose of glucocorticoid administration?
a. Prevent infection. b. Increase fetal lung maturity. c. Increase blood flow from placenta. d. Relax the cervix.
A nurse is concerned about safe staffing levels at a facility and observes that several units have no RN coverage but instead have RNs who float among several units
In determining whether this staffing concern should be reported to an outside agency, the nurse understands that, with whistle blowing: a. reporting unsafe staffing levels to The Joint Commission provides protection from the employer. b. keeping copies of documented inappropriate staffing patterns in the nurse's personal file is illegal. c. when observing inappropriate staffing, the nurse should record her personal thoughts concerning the outcomes. d. one should seek guidance from a trusted individual who can provide an objective point of view.
Which of the following would be most important for the nurse to remember when auscultating the thorax?
A) Listen at each site for at least one complete respiratory cycle B) Have the client breathe deeply through the mouth C) Be alert to the client's comfort and offer rest periods D) Auscultate the base at the level of the sixth rib