A nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the education plan?

A) Knowing the calorie content of numerous foods
B) Learning strategies to control impulses
C) Describing physiologic consequences of anorexia nervosa
D) Setting realistic goals


Ans: D
Because these clients tend to be perfectionist and set unrealistic goals for themselves, the nurse should educate the client about setting realistic and attainable goals. Other topics such as weight monitoring, resources, and effects of restrictive eating should be included in the nurse's educational plan.

Nursing

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The nurse is caring for a client who plans to relinquish her baby for adoption. The nurse would implement which of the following approaches to care? Select all that apply

1. Encourage the client to see and hold her infant. 2. Encourage the client to express her emotions. 3. Respect any special requests for the birth. 4. Acknowledge the grieving process in the client. 5. Allow for access to the infant if the client requests it.

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A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. On which ra-tionale should the nurse base her reply?

a. After circumcision, the diaper should be changed frequently and fastened snugly. b. This yellow crust is an early sign of infection. c. The yellow crust should not be removed. d. Discontinue the use of petroleum jelly to the tip of the penis.

Nursing

When safely transporting a client in a wheelchair, the nurse should:

a. raise the footplates before transferring the client into the wheelchair. b. push the client face-forward ahead of the nurse into the elevator. c. position the client as far forward as possible on the seat of the chair. d. position the chair ahead of the nurse when going down a ramp.

Nursing

An example of an initiative that may reduce total healthcare costs would be:

a. Offering nurse practitioner–led clinics that educate parents about nonpharmacologic strategies for managing ear infections. b. Educating seniors about the comparative costs of medications that are prescribed to them. c. Lowering copayments for prescription drugs for seniors. d. Advocating for more readily available MRI services to ensure early diagnosis.

Nursing