Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care?

Correct Answer: B

Rationale: The correct answer is B: Observe for adverse effects associated with refeeding. This is important because refeeding syndrome can occur when a malnourished individual is given too much nutrition too quickly, leading to potentially life-threatening electrolyte imbalances. Monitoring for signs and symptoms of refeeding syndrome is crucial in managing the patient's refeeding process. Choice A (Communicate empathy) is important but not the most critical in this situation. Choice C (Teach about psychological origins) may be helpful in understanding the disorder but is not the priority at this stage. Choice D (Direct patient to balance energy expenditure) is not the most important as refeeding should be carefully monitored before focusing on energy balance.

Correct Answer: B

Rationale: The correct answer is B: Strong id, weak ego, weak superego. This is because Adam's statement reflects characteristics of a person with strong id, prioritizing immediate gratification and pleasure without considering consequences. His lack of concern for societal norms or moral values indicates a weak superego. Additionally, his statement suggests a weak ego, as he lacks the ability to balance the demands of the id and superego, resulting in impulsive and self-centered behavior. Summary of other choices: A: Weak id, strong ego, weak superego - This is incorrect as Adam's statement reflects a strong id, not a weak one. C: Weak id, weak ego, punitive superego - This is incorrect as Adam's statement does not suggest a punitive superego. D: Strong id, weak ego, punitive superego - This is incorrect as Adam's statement does not indicate a punitive superego but rather a weak one.

Correct Answer: A

Rationale: The correct answer is A: Resource person. In this scenario, the nurse is fulfilling the role of a resource person by offering information and guidance to Nancy about being on the psychiatric unit. This role involves providing knowledge, support, and answering questions to help the patient navigate their environment. Incorrect choices: B: Counselor - The nurse is not providing counseling or therapeutic interventions in this situation. C: Surrogate - The nurse is not acting as a substitute decision-maker for Nancy. D: Technical Expert - The nurse is not primarily focused on providing technical or clinical expertise in this interaction.

Correct Answer: D

Rationale: The correct answer is D because justice involves fair distribution of resources or care to ensure equality. This aligns with the principle of distributive justice, which aims to allocate resources in a way that benefits everyone fairly. Choice A focuses on beneficence, not justice. Choice B relates to non-maleficence, a different ethical principle. Choice C is about autonomy and respecting rights, not directly related to justice. In summary, D is correct as it pertains to the equitable distribution of resources, while the other choices are not directly related to the concept of justice.

Correct Answer: A

Rationale: The correct answer is A: Situational, maturational, and adventitious. Situational crises arise from external events, maturational crises occur due to life transitions, and adventitious crises result from unexpected disasters. Choice B focuses on different aspects rather than types of crises. Choice C refers to the duration of crises, not their types. Choice D categorizes crises based on different contexts rather than types. Therefore, A is correct as it accurately identifies the three distinct types of crises based on their nature and origin.