Which patient would most likely benefit from taking St. John's wort? A patient with

Correct Answer: C

Rationale: The correct answer is C - a patient with mild depressive symptoms would most likely benefit from taking St. John's wort due to its potential antidepressant effects. St. John's wort is commonly used as a natural remedy for mild to moderate depression. It works by increasing the levels of serotonin, dopamine, and norepinephrine in the brain, which can help improve mood and alleviate depressive symptoms. Choice A (mood swings) is incorrect because St. John's wort is not typically used to address mood swings. Choice B (hypomanic symptoms) is also incorrect as St. John's wort may worsen manic symptoms in individuals with bipolar disorder. Choice D (panic disorder with agoraphobia) is not the most likely condition to benefit from St. John's wort, as it is not primarily used for treating panic disorders.

Correct Answer: D

Rationale: The correct answer is D: Imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight and hypokalemia. Rationale: 1. Imbalanced nutrition: The patient's history of virtually stopping eating and losing 25% of body weight indicates a lack of adequate nutrition intake. 2. Less than body requirements: The significant weight loss and prolonged period of decreased food intake support this nursing diagnosis. 3. Refusal to eat: The patient's behavior of stopping eating aligns with this diagnosis. 4. Loss of 25% of body weight: This is a critical indicator of severe malnutrition. 5. Hypokalemia: Low serum potassium levels (2.7 mg/dL) are associated with inadequate nutrition intake and support the diagnosis of imbalanced nutrition. Summary: A: Incorrect. The patient's history does not mention abuse of laxatives. B: Incorrect. There is no mention of self-induced vomiting or

Correct Answer: C

Rationale: The correct answer is C: Reports of serum electrolytes. This is crucial as patients with anorexia nervosa are at risk of refeeding syndrome, characterized by electrolyte imbalances. Monitoring serum electrolytes helps detect potential complications such as hypophosphatemia, which can lead to cardiac and respiratory failure. A: Pupillary reaction to light is important but not as critical as monitoring electrolytes in this context. B: Temperature measurements are important for general assessment, but electrolyte monitoring takes precedence in refeeding complications. D: Complaints of sleep disturbances are relevant but do not directly assess the risk of refeeding syndrome.

Correct Answer: D

Rationale: The correct answer is D because according to Mahler's theory, during the rapprochement phase, the child learns to balance independence and dependence. If Janet did not receive critical 'emotional refueling' during this phase, she may struggle with abandonment fears and internalized rage. This can lead to difficulties in forming stable relationships and intense fear of being abandoned. Choices A and B are not directly related to the consequences of deficient emotional refueling in Mahler's theory. Choice C, while related to trust issues, does not specifically address the internalized rage and fears of abandonment resulting from the deficiency during the rapprochement phase.

Correct Answer: A

Rationale: The correct answer is A: To decrease anxiety and develop trust. This is the primary focus for nursing care for Danny because his symptoms of anxiety, paranoia, and refusal to eat are indicative of his distress and lack of trust in his environment. By decreasing his anxiety and building trust, the nurse can establish a therapeutic relationship with Danny, which is essential for effective treatment and care. Setting limits on his behavior (B) may escalate his anxiety and worsen his symptoms. Ensuring group therapy attendance (C) may not be effective if Danny is not in a mental state to participate. Attending to hygiene needs (D) is important but secondary to addressing his underlying anxiety and trust issues.