While providing health teaching for a client with binge-purge ...

[biggirl4568]

While providing health teaching for a client with binge-purge bulimia nervosa, the nurse should
  prioritize information about
 
  a. self-monitoring of daily food and fluid intake.
  b. establishing the desired daily weight gain.
  c. symptoms of hypokalemia.
  d. self-esteem maintenance.

Question 2

The family of a client whose health maintenance organization will not pay for continuing
  hospitalization is considering transfer of the client to a public mental hospital.
 
  They express concern
  that the client will be warehoused and never get any treatment.. The reply by the nurse that would
  be most helpful is
  a. Under the law, treatment must be provided. Hospitalization without treatment
  violates client rights..
  b. That's a justifiable concern because the right to treatment extends only to
  provision of food, shelter, and safety..
  c. Much will depend on other clients because the right to treatment for a psychotic
  client takes precedence over the right to treatment of a client who is stabilized..
  d. All clients in public hospitals have the right to choose both a primary therapist
  and a primary nurse..

[eliasc0401]

Answer to Question 1

C
Hypokalemia results from potassium loss associated with vomiting. Physiological integrity can be
maintained if the client can self-diagnose potassium deficiency and adjust the diet or seek medical
assistance. Option A: This option is not useful if the client purges. Option B: Daily weight gain may
not be desirable for a client with bulimia nervosa. Option D: Self-esteem is an identifiable problem
but is of lesser priority than the risk for hypokalemia.

Answer to Question 2

ANS: A
The right to medical and psychiatric treatment was conferred on all clients hospitalized in public
mental hospitals with the enactment of the federal Hospitalization of Mentally Ill Act in 1964 .
Option B supports the erroneous belief the family holds. Options C and D: These stated provisions
are not part of this or any other statute governing psychiatric care.

[biggirl4568]

Correct answers!

[eliasc0401]

Great! Please up vote