Feeding and Eating Disorder

What is the nurse's best response to the client's concern?

"I hear your concern; however, let's focus on how you are feeling."

Which outcome criteria demonstrate the client's readiness to be discharged from the inpatient unit and continue treatment as an outpatient? (Select all that apply. One, some, or all options may be correct.)

Client demonstrates three learned skills for managing triggers for relapse. Client has reached and maintained 80 to 85% of weight restoration. Client has remained free from self-directed harm. Client commits to continue individual and group therapies after discharge.

Which features are prominent in anorexia nervosa? (Select all that apply. One, some, or all options may be correct.)

Amenorrhea for three cycles. Perfectionism. Powerlessness. Rigid food rituals.

Which outcomes demonstrate the benefits of a cognitive-behavioral approach to treating eating disorders? (Select all that apply. One, some, or all options may be correct.)

Clients identify and modify distorted perceptions of eating. Clients reinterpret body image perceptions. Clients utilize coping techniques to reduce anxiety. Clients learn to predict recurrence of symptoms.

Which member of the interprofessional team plays a major role in formulating the nasogastric feeding protocol?

Clinical Nutritionist.

Which nursing action has the highest priority during one-on-one staffing?

Closely monitor the client and document the potential for self-harm.

Which features are prominent in bulimia nervosa? (Select all that apply. One, some, or all options may be correct.)

Erosion of tooth enamel. Excessive intake of food. Swollen salivary glands on palpation. The Russell sign is noted on assessment. Recurrent inappropriate compensatory behavior to prevent weight gain.

Which nursing concern takes the highest priority for this client, according to Maslow's Hierarchy of Needs?

Expressing feelings of self-harm.

Which nursing concern is a priority at this time?

Impaired family functioning.

Which nursing focus describes the client's current problem?

Inability to interact socially.

Which nursing problems have the highest priority during the acute phase of treatment? (Select all that apply. One, some, or all options may be correct.)

Malnourishment. Deficiency in fluid volume.

What actions should the nurse take to implement the client's plan of care? (Select all that apply. One, some, or all options may be correct.)

Monitor fluid and electrolytes. Supervise the client during and after feedings. Perform skin assessments each shift. Measure and document intake and output.

Which is the best rationale for the nurse's decision?

Night feedings can prevent reinforcing attention and sympathy from others.

Which laboratory finding result reveals the finding of protein malnutrition?

Prealbumin level 5 mg/dL (5 mg/mL).

What actions should the nurse take during this transitional phase? (Select all that apply. One, some, or all options may be correct.)

Provide a supportive approach regarding the client's expressed anxiety. Continue to provide supervision during and after mealtimes. Actively listen to the client's concerns.

Which nursing action should have the highest priority?

Report this data to the primary HCP and the interprofessional team.

Which clinical manifestations should the nurse observe as indicators of hypophosphatemia? (Select all that apply. One, some, or all options may be correct.)

Shallow respirations. Weak cardiac contractions. Seizure activity. Altered mental status.

When developing the plan of care for initiation of nasogastric feedings, the nurse recognizes which nursing intervention as having the highest priority?

Slow enteral feedings at the start of therapy.

Which evaluative measure demonstrates improvement in the client's ability to socially interact with peers?

The client eats breakfast and lunch with select peers.

Which client behavior demonstrates progress towards positive change?

The client identifies two healthy coping behaviors the family can use to improve their relationship.

Which short-term goal promotes safety measures when refeeding the client?

The client will gain no more than 1 to 2 lbs (0.45 to 0.91 kgs) during the initial week of refeeding.

What is the nurse's primary purpose for establishing a treatment contract with the client?

To provide the client with greater control over the expression of feelings.