A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine, downy hair over the trunk. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient says, "I won't eat until I look thin."
Select the priority initial nursing diagnosis.
a. Anxiety related to fear of weight gain
b. Disturbed body image related to weight loss
c. Ineffective coping related to lack of conflict resolution skills
d. Imbalanced nutrition: less than body requirements related to self-starvation
ANS: D
The physical assessment shows cachexia, which indicates imbalanced nutrition. Addressing the patient's self-starvation is the priority.
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Your patient has a diagnosis of bladder cancer with metastasis. The patient asks you about hospice. Which principle underlies hospice care?
A) Death must be accepted. B) Symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary team develops an individual plan of care for the patient. D) Terminally ill patients should die in the hospital.
The husband of a 74-year-old female patient is distraught at her recent diagnosis of Alzheimer's disease
In an effort to identify a cure, the husband is conducting extensive online research as well as speaking with each member of the care team about possible treatments. How can the nurse best respond to the husband's inquiry? A) "There is presently no cure for Alzheimer's disease but highly promising treatments are expected.". B) "Eliminating any exposure to aluminum or mercury has been shown to have a positive impact on people in the early stages of Alzheimer's.". C) "There isn't any cure currently available for Alzheimer's but some drugs have been shown to slow the progression of the disease.". D) "Drugs that affect the neurotransmitters in the brain are now available that can cure many early cases of Alzheimer's.".
1. achieving recovery and rehabilitation 2. seeking medical care 3. assuming a dependent role 4. experiencing symptoms
1. "The treatment plan is the reason you are not experiencing symptoms, so it would be best if you did not stop the plan." 2. "That does sound like a good idea." 3. "You can always resume the plan if the symptoms return." 4. "Plan to wean yourself off the treatment plan and not discontinue it all at once."
The study by Dr. Brown and colleagues on the effect of early postnatal discharge concluded that:
1. early discharge mothers were more likely to breastfeed. 2. fathers spend less time with babies discharged early. 3. early discharge appears to do no harm. 4. further research is not needed.