A young adult is being evaluated for a possible eating disorder. Which nursing intervention is most directly related to a commonly observed complication related to bulimia nervosa?

Correct Answer: B

Rationale: The correct answer is B: Increasing potassium-rich foods in the daily diet. Bulimia nervosa can lead to electrolyte imbalances, including low potassium levels, due to purging behaviors. Increasing potassium-rich foods can help replenish depleted levels and prevent complications like cardiac arrhythmias. A: Medicating for migraine headaches is not directly related to bulimia nervosa complications. C: Adding fiber for constipation may be helpful but is not the most directly related intervention. D: Monitoring for contact dermatitis is unrelated to the complications typically seen in bulimia nervosa.

Correct Answer: B

Rationale: Correct Answer: B Rationale: Giving someone access to your bank account should not result in them making extravagant purchases, like a brand-new car. This suggests financial abuse, as the son is misusing the client's funds for personal gain. This behavior is a red flag for financial exploitation of the elderly. Summary of Incorrect Choices: A: This statement suggests neglect or lack of care by the son regarding replacing dentures, not necessarily financial abuse. C: This statement suggests neglect or lack of assistance in a physical situation, not directly related to financial abuse. D: This statement suggests potential neglect in providing basic needs like food, but it does not directly indicate financial abuse.

Correct Answer: D

Rationale: The correct answer is D because sealing the child's room and not allowing anyone to change it indicates a refusal to accept the reality of the child's death, hindering the mourning process. This behavior can lead to prolonged grief and prevent the parents from moving forward in their grieving journey. A: Keeping a place set for the deceased child at the family dinner table can be a way for the parents to remember and honor the child, which may not necessarily indicate ineffective mourning. B: Throwing flowers on the lake at each anniversary date of the accident is a symbolic gesture of remembrance and can be a healthy way for parents to express their grief. C: Having a prayer service every year on the anniversary of the child's death is a common practice for many individuals grieving and does not necessarily indicate ineffective mourning.

Correct Answer: B

Rationale: The correct answer is B: Try having the child repeat the instructions before starting the task. This strategy, known as "active listening," can help children with ADHD improve their focus and understanding of directions. By repeating the instructions, the child reinforces the information in their memory and clarifies any confusion. This approach promotes better compliance with tasks. Incorrect choices: A: Developing a daily schedule plan may be helpful, but it doesn't specifically address improving the child's ability to follow directions. C: Teaching assertiveness is not directly related to addressing the difficulty in following directions. It may not necessarily improve the child's compliance with instructions. D: Placing the child in time out is a punitive measure and does not address the underlying issue of difficulty following directions. It may worsen the child's behavior and does not teach them how to improve their listening skills.

Correct Answer: B

Rationale: The correct answer is B because delaying seeking treatment for injuries in a child can indicate neglect or intentional harm. This behavior raises suspicion of child abuse as it shows a lack of concern for the child's well-being. Choices A, C, and D do not directly suggest child abuse as they could be seen as normal parental behavior. Asking the child to explain (A) could be a way to understand the situation, showing concern (C) is a common parental reaction, and staying with the child (D) is also expected during an assessment.