A nurse is caring for a patient with anorexia nervosa. Which of the following behaviors would indicate that the patient may be at risk for refeeding syndrome?

Correct Answer: B

Rationale: The correct answer is B because a recent history of malnutrition and electrolyte imbalances indicates that the patient's body may not be prepared to handle a sudden increase in nutrition, which is a risk factor for refeeding syndrome. Refeeding syndrome occurs when there is a rapid reintroduction of nutrition to malnourished individuals, leading to shifts in electrolytes that can be life-threatening. Choices A, C, and D do not directly indicate the risk of refeeding syndrome as they do not specifically highlight the patient's malnutrition and electrolyte imbalances.

Correct Answer: B

Rationale: The correct answer is B because providing regular opportunities for the patient to move and reposition helps prevent complications related to immobility. Movement helps prevent blood clots, pressure ulcers, muscle weakness, and joint stiffness. Choices A, C, and D are incorrect. A encourages immobility which can lead to complications. C is incorrect as early mobilization is important for recovery. D is incorrect as limiting fluid intake can increase the risk of dehydration and other complications.

Correct Answer: A

Rationale: The correct answer is A: Feelings of hopelessness and worthlessness. This is a common symptom of depression as individuals with depression often experience persistent negative thoughts about themselves and their situation. This symptom is a key indicator used in diagnosing depression. B: Excessive energy and restlessness is not a common symptom of depression. In fact, individuals with depression often experience fatigue and lack of energy. C: Rapid speech and racing thoughts are more commonly associated with conditions like mania or anxiety disorders, not depression. D: Increased appetite and weight gain can be a symptom of atypical depression, but it is not a common symptom of depression in general. Weight changes can vary among individuals with depression.

Correct Answer: B

Rationale: The correct answer is B: Tremors, anxiety, and seizures. These symptoms are characteristic of alcohol withdrawal syndrome. Tremors and anxiety are common early symptoms, while seizures are a severe complication. Monitoring these symptoms is crucial for early intervention and preventing potential complications. Incorrect choices: A: Excessive hunger and weight gain do not typically occur during alcohol withdrawal. C: Fatigue and lethargy are more commonly associated with other conditions and are not specific to alcohol withdrawal. D: Hyperactivity and restlessness are not typical symptoms of alcohol withdrawal; rather, the patient may experience agitation and irritability.

Correct Answer: B

Rationale: The correct answer is B because it shows empathy and understanding towards Becky's situation, acknowledging her feelings without making assumptions or being judgmental. This statement validates Becky's emotions and creates a supportive environment for her to open up. Choice A is incorrect as it may come off as accusatory and intrusive, potentially causing Becky to feel defensive rather than trusting. Choice C is incorrect as it generalizes and stigmatizes individuals with bipolar disorder, which can further distance Becky. Choice D is incorrect because it uses fear tactics and lacks sensitivity, which can harm the therapeutic relationship with Becky.