Final ch 18 and 28

A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide?

Adherence to a selected menu Observation during and after meals Monitoring during bathroom trips

Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?

Assist the patient to identify triggers to binge eating.

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention monitor for complications of refeeding. Which system should a nurse closely monitor for dysfunction?

Cardiovascular

A young adult has recently had multiple absences from work. After each absence, this adult returned to work wearing dark glasses and long-sleeved shirts. During an interview with the occupational health nurse, this adult says, My partner beat me, but it was because I did not do the laundry. What is the nurses next action?

Document injuries with a body map.

Which nursing diagnosis is more appropriate for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient diagnosed with bulimia nervosa who purges?

Imbalanced nutrition: less than body requirements

A nurse assists a victim of intimate partner abuse to create a plan for escape if it becomes necessary. Which components should the plan include?

Keep a cell phone fully charged. Have the phone number for the nearest shelter. Secure a supply of current medications for self and children. Assemble birth certificates, Social Security cards, and licenses. Determine a code word to signal children when it is time to leave.

A 10-year-old cares for siblings while the parents work because the family cannot afford a babysitter. This child says, My father doesnt like me. He calls me stupid all the time. The mother says the father is easily frustrated and has trouble disciplining the children. The community health nurse should consider which resources as priorities to stabilize the home situation?

Parental sessions to teach childrearing practices Anger management counseling for the father Continuing home visits to give support

Disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?

Patient expresses satisfaction with body appearance

A patient referred to the eating disorders clinic has lost 35 pounds in 3 months. For which physical manifestations of anorexia nervosa should a nurse assess?

Peripheral edema Constipation Hypotension Lanugo

A community health nurse visits a family with four children. The father behaves angrily, finds fault with the oldest child, and asks twice, Why are you such a stupid kid? The wife says, I have difficulty disciplining the children. Its so frustrating. Which comments by the nurse will facilitate an interview with these parents?

Tell me how you discipline your children. How do you stop your baby from crying? .Caring for four small children must be difficult.

A nurse provides health teaching for a patient diagnosed with binge-purge bulimia. Priority information the nurse should provide relates to:

how to recognize hypokalemia.