The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention

focusNode

Inhaltsverzeichnis Show

What interventions are effective for individuals with anorexia?
Which is the primary objective of nursing interventions in the care of a client with anorexia nervosa?
What is the nursing diagnosis for anorexia?
What is an appropriate goal for a client with anorexia nervosa?

Didn't know it?
click below

Knew it?
click below

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

Normal Size Small Size show me how

Question	Answer
Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing and now has amenorrhea. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?	Anorexia nervosa
Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most appropriate to monitor?	Patient expresses satisfaction with body appearance.
A patient who is referred to the eating disorders clinic has lost 35 pounds during 3 months. To assess eating patterns, the nurse should ask the patient:	“What do you eat in a typical day?”
A patient with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight. A nurse asks, “Describe what you think about your present weight and how you look.” Which response by the patient is most consistent with the diagnosis?	“I’m fat and ugly.”
A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and has lost 25% of body weight. The serum potassium is 2.7 mg/dl. Which nursing diagnosis applies?	Imbalanced nutrition: less than body requirements, related to reduced oral intake as evidenced by loss of 25% of body weight and hypokalemia
Outpatient treatment is planned for a patient diagnosed with anorexia nervosa. Select the most important desired outcome related to the nursing diagnosis: Imbalanced nutrition: less than body requirements. Within 1 week, the patient will:	Gain 1 to 2 pounds.
Which nursing intervention has priority as a patient with anorexia nervosa begins to gain weight?	Observe for adverse effects of refeeding.
A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures designed to produce a specified weekly weight gain?	Patient involvement in decision-making increases a sense of control and promotes compliance with the treatment.
A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeeding.” Which system should a nurse closely monitor for dysfunction?	Cardiovascular
A psychiatric clinical nurse specialist uses cognitive therapy techniques with a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy?	“Being thin doesn’t seem to solve your problems. You’re thin now but still unhappy.”
An appropriate intervention for a patient with bulimia nervosa who binges and purges is to teach the patient to:	avoid skipping meals or restricting food.
What behavior by a nurse caring for a patient with an eating disorder indicates the nurse needs supervision?	The nurse uses an authoritarian manner when interacting with the patient.
nursing dx 4 patient w/ bulimia nervosa is: Ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is that within 2 weeks the patient	identify two alternative methods of coping with loneliness.
Which nursing intervention has the highest priority for a patient with bulimia nervosa?	Assist the patient to identify triggers to binge eating.
One bed is available on the inpatient eating disorders unit. Which patient should be admitted? The patient whose weight dropped from:	150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg
While providing health teaching for a patient with binge-purge bulimia, a nurse should emphasize information about:	recognizing the symptoms of hypokalemia.
As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient’s body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet, 4 inches tall. Which term should be documented?	Lanugo
pt being admitted to the eating disorders unit has a yellow cast to the skin and fine,downy hair covering the body. The ptwt 70lb ht is 5ft 4in. The pt is quiet and says only, I won’t eat until I look thin.” What is the priority initial nursing diagnosis?	Imbalanced nutrition: less than body requirements, related to self-starvation
A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:	Processing the heightened anxiety levels associated with eating.
Physical assessment of a patient with bulimia often reveals:	prominent parotid glands.
Which personality characteristic is a nurse most likely to assess in a patient with anorexia nervosa?	Rigidity, perfectionism
Which assessment finding for a patient with an eating disorder meets a criterion for hospitalization?	Systolic blood pressure: 62 mm Hg
Which statement is a nurse most likely to hear from a patient with anorexia nervosa?	“I’m fat and ugly.”
Which nursing diagnosis is more applicable to a patient with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient with bulimia nervosa who purges?	Imbalanced nutrition: less than body requirements
An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments, the patient gained 8 pounds. The nurse should:	assess lung sounds and extremities.
When a nurse finds a patient with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, the nurse should state:	“According to our agreement, no exercising is permitted until you have gained a specific amount of weight.”
A patient referred to the eating disorders clinic has lost 35 pounds in 3 months and has developed amenorrhea. For which physical manifestations of anorexia nervosa should a nurse assess? Select all that apply	Peripheral edema Constipation Hypotension Lanugo
A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? Select all that apply.	Adherence to a selected menu Observation during and after meals Monitoring during bathroom trips
A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these old people. They are so weak and frail. They are probably all senile.” The student is expressing:	ageism.
A community mental health nurse plans an educational program for the staff members of a home health agency that specializes in the care of older adults. A topic of high priority should be:	identifying clinical depression in older adults.
Which is the best comment for a nurse to use when beginning an interview with an older adult patient?	“Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.”
A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, the nurse should:	ask if the patient can hear clearly as the nurse speaks.
Which statement about aging provides the best rationale for focused assessment of older adult patients?	The senses of vision, hearing, touch, taste, and smell decline with age.
A nurse asks the following questions while assessing an older adult. The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers “yes” to which question?	“Would you say your mood is often low?”
A 78yr nursing home pt/w/hpt and cardiac disease is usually alert and oriented.This am, the pt says,My family visited during the pm.They stood by the bed and talked to me.In reality, thep fam r200 mi away. The nurse should first suspect that the resident	may have a cognitive impairment associated with medication effects.
A dr writes these new rx 4 a pt in a skilled care facility: 2 G sodium diet; restraint as needed; limit fluids to 2000 ml daily; 1 dose milk of magnesia 30 ml orally if no bowel movement occurs for 3 days. Which prescription should the nurse question?	Restraint
If an older adult patient must be physically restrained, who is responsible for the patient’s safety?	Nurse assigned to care for the patient
A health care provider decided that the emotional distress of an older adult patient who experiences threatening auditory hallucinations warrants the use of risperidone (Risperdal). Which intervention should the nurse add to the patient’s plan of care?	Monitor for psychomotor changes.
An advance directive gives valid direction to health care providers when a patient is:	unable to make decisions for him- or herself
A patient with whom the nurse is discussing advance directives asks, “What advantage does a durable power of attorney for health care have over a living will?” The nurse should reply that a durable power of attorney for health care:	“Gives your agent the authority to make decisions about your care if you are unable to during any illness.”
Recognizing the risk for acquired immunodeficiency syndrome (AIDS) among older adults, nurses should provide health teaching aimed at:	encouraging condom use
A 79-year-old white man tells a visiting nurse, “I’ve been feeling down lately. My family and friends are all dead. My money is running out, and my health is failing.” The nurse should analyze this comment as:	evidence of suicide risk.
In a sad voice, a patient tells the nurse of the recent deaths of a spouse of 50 years and their adult child in an automobile accident. The patient has no other family and only a few friends in the community. What is the priority nursing diagnosis?	Risk for suicide, related to recent deaths of significant others
When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?	Confusion seems to worsen at night when dementia is present.
An 80-year-old patient has difficulty walking because of arthritis and says, “It’s awful to be old. Every day is a struggle. No one cares about old people.” Which is the nurse’s most therapeutic response?	“It sounds like you’re having a difficult time. Tell me about it.”
A 74-year-old patient is regressed and apathetic and responds to others only when they initiate the interaction. What form of therapy would be most useful to promote resocialization?	Remotivation
A clinic nurse interviews four patients between 70 and 80 years of age. Which patient should have further assessment regarding the risk of alcohol dependence? The patient:	with no history of alcohol-related problems until age 65 years, when the patient began to drink alcohol daily “to keep my mind off my arthritis.”
An SSRI is prescribed for an older adult patient with depression. Nursing assessment should include careful collection of information regarding:	use of other prescribed medications and over-the-counter products.
An older adult patient with depression is being treated with sertraline (Zoloft). This medication is often chosen for older adult patients because it:	is less affected by changes associated with aging.
When admitting older adult patients, health care agencies receiving federal funds must provide written information about:	advance health care directives
The highest priority for assessment by nurses caring for older adults who self-administer medications is:	use of multiple drugs with anticholinergic effects
A nurse and social worker co-lead a reminiscence group for eight “elite-old” adults. Which activity is appropriate to include in the group?	Singing a song from World War II
A nurse wants to perform a preliminary assessment for suicidal ideation in an older adult patient. Which question would obtain the desired data?	“What thoughts do you have about a person’s right to take his or her own life?”
A nurse and social worker co-lead a reminiscence group for eight “young-old” adults. Which activity is most appropriate to include in the group?	Discussing national leadership during the Vietnam War
A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? Select all that apply.	Failure of older adults to receive necessary medical information Staff shortages because caregivers prefer working with younger adults
Which beliefs facilitate the provision of safe, effective care for older adult patients? Select all that apply.	Older adults are able to learn new tasks. Aging results in a decline in restorative sleep. Older adults are prone to become crime victims.
A nurse assessing an older adult patient for suicide potential should include questions about mood and which other symptoms? Select all that apply.	Sleep pattern changes Anhedonia and anergia Increased social isolation Increased concern with bodily functions

What interventions are effective for individuals with anorexia?

For anorexia nervosa, the family approach showed greater effectiveness. Other effective approaches were interpersonal psychotherapy, dialectic behavioral therapy, support therapy and self-help manuals.

Which is the primary objective of nursing interventions in the care of a client with anorexia nervosa?

The main goal is to normalize eating patterns and behaviors to support weight gain.

What is the nursing diagnosis for anorexia?

Nursing Diagnosis Nursing diagnoses for clients with eating disorders include the following: Imbalanced nutrition: less than body requirements related to purging or excessive use of laxatives. Ineffective coping related to inability to meet basic needs. Disturbed body image related to being excessively underweight.

What is an appropriate goal for a client with anorexia nervosa?

In general, the aims of psychological treatment are to promote weight gain and healthy eating, to reduce other eating disorder related symptoms and to promote psychological recovery.

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention

What interventions are effective for individuals with anorexia?

Which is the primary objective of nursing interventions in the care of a client with anorexia nervosa?

What is the nursing diagnosis for anorexia?

What is an appropriate goal for a client with anorexia nervosa?

zusammenhängende Posts

Which nursing statement is most effective in communicating a positive expectation of the client?

Which point listed by the nursing student is accurate regarding the loss of medical records?

Which phase of the nursing process would the nurse participate when establishing patient goals?

Which action would the nurse take before implementing health care provider initiated interventions

Which of the following parts of a marketing plan lists data about the organizations Strength Weakness Opportunities and Threats SWOT )?

Which interview techniques are the most effective in facilitating therapeutic communication?

The nurse manager at a cardiac rehabilitation unit was asked to select a care delivery model

Why is it most important for the HR plan to address redundancy for times of economic downturn?

What document links the organizations business need project objectives and product designs to project requirements?

What are the priority interventions the nurse performs when admitting the patient to the Postanesthesia care unit PACU )?

Werbung

NEUESTEN NACHRICHTEN

Which list below contains only information systems development project risk factors?

Controlling measures the of actual performance from the standard performance

Welche Elemente kommen im menschlichen Körper vor?

Mit anzusehen wenn der mann anbaut

Second Hand Kinder in der Nähe

Which of the following statements is true regarding surface-level diversity?

Wie wird man im Solarium am besten braun?

When giving a speech of presentation you should usually explain why the recipient is being given his or her award?

Wie lange ist 3 tage fieber ansteckend

Was sagt man wenn jemand in rente geht

Werbung

Populer

Werbung

Um

Legal

Hilfe

Sozial