A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful?

Correct Answer: A

Rationale: The correct answer is A because it shows empowerment and independence for the client, which are key goals in therapy for anorexia nervosa. Reinforcing increased decision-making by the client indicates progress towards autonomy and self-efficacy. This is important for long-term recovery. Choice B is incorrect as clear verbalization of expectations by parents may not necessarily indicate successful therapy. It could potentially lead to increased pressure and anxiety for the client. Choice C is incorrect as verbalizing enjoyment of family meals may not necessarily indicate successful therapy. It could be a temporary response or avoidance of conflict. Choice D is incorrect as sharing feelings of low self-esteem with parents may indicate trust and communication but does not necessarily represent successful therapy outcomes for anorexia nervosa.

Correct Answer: B

Rationale: The correct answer is B: Initiation phase. In this phase, group members often look to leaders for guidance and are anxious as they are getting to know each other and establishing trust. During initiation, the group is forming and exploring roles and relationships. The other choices are incorrect because: A: Conflict resolution phase comes after the working phase and involves resolving conflicts that have arisen. C: Working phase is characterized by group cohesion, problem-solving, and goal achievement, not by anxiety and dependence on leaders. D: Termination phase occurs when the group is ending, not when it is forming and experiencing anxiety.

Correct Answer: B

Rationale: The correct answer is B: Coffee. Oxazepam is a benzodiazepine that can cause drowsiness and relaxation. Coffee contains caffeine which can counteract these effects, making the medication less effective. Avoiding excessive coffee intake ensures the desired therapeutic effects of Oxazepam. Choices A, C, and D are incorrect because they do not interact directly with Oxazepam or affect its effectiveness.

Correct Answer: C

Rationale: The correct answer is C: Sundowning. Sundowning refers to increased confusion and behavioral changes in clients with cognitive impairment disorders, typically worsening in the early evening hours. This phenomenon is believed to be influenced by factors such as fatigue, changes in light exposure, and disruption of the body's internal clock. Aphasia (A) refers to language difficulties, agnosia (B) is the inability to recognize objects or persons, and confabulation (D) is the production of false memories. These terms do not specifically relate to the described phenomenon of increased confusion in the early evening hours seen in sundowning.

Correct Answer: C

Rationale: The correct answer is C: To explore a subject, idea, experience, or relationship. This therapeutic communication technique aims to encourage the client to express their thoughts, feelings, and needs freely. By asking the client how they can be helped, the nurse is inviting the client to discuss their concerns and preferences, allowing for a deeper exploration of their situation. This can help establish trust, build rapport, and facilitate a better understanding of the client's perspective. Choices A, B, and D are incorrect: A: Reframing the client's thoughts is not the primary purpose of this communication technique. B: Putting the client at ease is important, but not the main goal of asking this question. D: While showing active listening is essential, the main purpose of this question is to encourage the client to open up and share their concerns.