NCM 105 - CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIORINSTRUCTION:Please choose the correct answer. ColorREDyour chosen answer.Add
... [Show More] rationalization to your chosen answer and color itBLUE.EATING DISORDERS
1. The Nurse is developing a plan of care for a female clientwith anorexia nervosa. Which action should the nurse include inthe plan?A.Provide privacy during mealsB.Set-up a strict eating plan for the clientC.Encourage client to exercise to reduce anxietyD.Restrict visits with the familyEstablishing a consistent eating plan and monitoringclient's weight are important to this disorder.
2. The Nurse is caring for a client diagnosed with bulimia. Themost appropriate initial goal for a client diagnosed withbulimia is?A.Encourage to avoid foodsB.Identify anxiety causing situationsC.Eat only three meals a dayD.Avoid shopping plenty of groceriesBulimia disorder generally is maladaptive coping response tostress and underlying issues. The client should identifyanxiety causing situation that stimulate the bulimicbehavior and then learn new ways of coping with the anxiety
3. The Nurse is working in a mental health facility; the nursepriority nursing intervention for a newly admitted client withbulimia nervosa would be to?A.Teach client to measure I & OB.Involve client in planning daily mealC.Observe client during mealsD.Monitor client continuouslyMeasuring intake and output includes number of meals andsnacks per day, types and amount of foods and liquidsconsumed and situations, when and where eating occurs. Byteaching the client proper measurements of intake andoutput, they would be able to self-imposed calorierestriction and dieting behaviour which is very important sothat they would be aware of their current situation. Also,
by doing such, the client will be more indulged to thetreatment process.
4. The Nurse is aware that the major health complicationassociated with intractable anorexia nervosa would be?A.Cardiac dysrhythmias resulting to cardiac arrestB.Glucose intolerance resulting in protracted hypoglycemiaC.Endocrine imbalance causing cold amenorrheaD.Decreased metabolism causing cold intoleranceThese clients have severely depleted levels of sodium andpotassium because of their starvation diet and energyexpenditure, these electrolytes are necessary for cardiacfunctioning.
5. The Nurse is aware that the signs & symptoms that would bemost specific for diagnosis anorexia are?A.Excessive weight loss, amenorrhea & abdominal distensionB.Slow pulse, 10% weight loss & alopeciaC.Compulsive behavior, excessive fears & nauseaD.Excessive activity, memory lapses & an increased pulseThese are the major signs of anorexia nervosa. Weight lossis excessive (15% of expected weight) [Show Less]