The priority short-term outcome for a female client with anorexia nervosa is to:
1. establish an exercise pattern.
2. correct her body-image misconception.
3. restore nutritional status.
4. increase self-awareness of feelings.
ANS: 3
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What will be an ideal response?
A nurse assesses older adults at a senior center. One older adult, age 78, has a body mass index (BMI) of 15. Which response by the nurse is appropriate?
A) "You are too skinny." B) "Have you been losing weight?" C) "Have you tried to lose this extra weight?" D) "Congratulations your BMI is great."
A client is receiving lithium carbonate (Eskalith) for the treatment of mania. The nurse would reinforce which teaching component regarding lithium treatment?
A) Obtain scheduled lithium levels. B) Watch for low urine output. C) Give medication on an empty stomach. D) Decrease fluid intake to prevent edema.
A 16-year-old client says, "My dad thinks I'm evil, but we get into fights because I let things build up. He never has any time for me because he's always glued to the TV. He doesn't even look at me when he talks." Which statement by the nurse encourages the client to use assertive behavior with his father?
A. "So you're saying that you let your feelings build up and then you just explode?" B. "Have you tried standing in front of the television when your dad is watching it?" C. "What makes you feel that you have the right to fly off the handle just because you feel ignored?" D. "Have you tried saying that directly to your dad? For example, you could say, 'I notice that you watch television when I'm telling you things that are important to me.'"