A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?

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Question 1 of 5

A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?

Correct Answer: C

Rationale: The correct answer is C: Imbalanced Nutrition: Less Than Body Requirements. In anorexia nervosa, clients typically have a distorted body image and intense fear of gaining weight, leading to restrictive eating behaviors. The behavioral plan for increasing weight directly addresses the issue of inadequate nutrition intake, which aligns with the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. The other options, such as A: Disturbed Body Image, B: Anxiety, and D: Ineffective Coping, may be secondary to the primary issue of malnutrition but are not the focus of the behavioral plan aimed at increasing weight in this case.

Question 2 of 5

A client who has been scheduled for electroconvulsive therapy (ECT) in the morning tells the nurse,"I'm really nervous about having ECT tomorrow." Which would be the best nursing response?

Correct Answer: B

Rationale: The correct answer is B. This response acknowledges the client's feelings, opens up communication, and allows the nurse to address specific concerns. It shows empathy and encourages the client to express their fears, leading to better understanding and support. Choice A is incorrect because offering medication without exploring the client's concerns may not address the root of their anxiety. Choice C is incorrect as it dismisses the client's feelings and suggests that their fears are unfounded. Choice D is incorrect because it focuses on the doctor's expertise, which may not alleviate the client's anxiety about the procedure.

Question 3 of 5

Which statement by a patient would lead the nurse to suspect unsuccessful completion of the psychosocial developmental task of infancy?

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Infancy's developmental task is trust vs. mistrust, forming trust in others. 2. Patient not allowing others to know them suggests inability to form trusting relationships. 3. Choice B aligns with the mistrust aspect of infancy development. 4. Choices A, C, D do not directly relate to the trust vs. mistrust developmental task.

Question 4 of 5

According to Maslow's hierarchy of needs, which situation demonstrates the lowest level of attainment?

Correct Answer: B

Rationale: Correct Answer: B Rationale: In Maslow's hierarchy of needs, the lowest level is physiological needs which include safety needs. Choice B reflects maintaining physical safety, which is a fundamental requirement for survival. This is prioritized before self-actualization (choice A), love and belonging (choice C), and esteem needs (choice D). Therefore, choice B is the correct answer as it aligns with the foundational aspect of Maslow's hierarchy. Summary of Other Choices: - A: Discussing all points of view and possessing ethics falls under self-actualization, a higher-level need. - C: Establishing interpersonal relationships and group identity falls under love and belonging needs, a higher-level need. - D: Desiring prestige from personal accomplishments falls under esteem needs, a higher-level need.

Question 5 of 5

When reviewing several studies about Hispanic Americans and their use of mental health care facilities, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities?

Correct Answer: D

Rationale: Step-by-step rationale for why answer choice D is correct: 1. Cultural competence is essential in mental health care. 2. Hispanic Americans may avoid mental health facilities that do not accommodate their cultural needs. 3. Lack of cultural accommodation may lead to mistrust and reluctance to seek help. 4. Choosing resources that align with their cultural values is more likely. Summary: A, B, and C are incorrect because they do not address the cultural aspect of seeking mental health care among Hispanic Americans. Answer choice D is correct because it highlights the importance of cultural sensitivity in mental health services for this population.

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