When one is developing the care plan for a female adolescent with an eating disorder, the primary issue to consider as the underlying cause is:
a. Control
b. Body image
c. Self-esteem
d. Coping skills
A
Although any of the issues listed in these options can be an underlying cause, control is the primary issue with an eating disorder. The client often feels that this is the only thing in her life over which she has complete control.
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Marion, a 25-year-old patient who lives with her parents, explains to the nurse at the community clinic, "I really don't need to talk to anyone, even my parents." The patient expresses that she is too busy and does not have the time to sit and talk
The nurse recognizes that the client is most likely using the defense mechanism known as: A. Conversion reaction. B. Avoidance. C. Isolation. D. Denial.
The operating nurse is assisting during a procedure in which the patient's gallbladder is removed with litigation of the cystic duct and artery. This procedure is known as a:
A) Cholecystectomy B) Cholecystotomy C) Choledochostomy D) Choledocholithotomy
If a nurse wants to assess a client's nutritional status, he or she may use
a. dietary standards, dietary behaviors, Ac-ceptable Macronutrient Distribution Ranges, and biochemical analysis. b. biochemical analysis, food records, com-puterized dietary analysis, and Tolerable Upper Intake Level. c. Recommended Dietary Allowances, clin-ical examination, psychosocial behaviors, and risk assessment. d. dietary evaluation, clinical examination, biochemical analysis, and anthropometric measurements.
The nurse instructs the client and family to observe for client hypoxia during home oxygen therapy. Which is the most important clinical indicator of hypoxia that the nurse instructs the family to monitor?
1. Confusion 2. Dusky lips 3. Tachypnea 4. Restlessness