Author Question: A male inpatient client who is experiencing depression has no interest in eating. He skips meals ... (Read 51 times)

frankwu · **on:** Jul 19, 2018

A male inpatient client who is experiencing depression has no interest in eating. He skips meals frequently and has been losing weight. What is the best nursing action in this situation?

a. Ask the client to Please eat one meal for me.
b. Leave food with him at mealtime and offer snacks frequently.
c. Give the client information on the benefits of good nutrition.
d. Remove client privileges every time he doesn't eat.

Question 2

A client with a history of cerebrovascular accident (CVA) is brought to an emergency department experiencing memory problems, confusion, and disorientation.

Based on this client's assessment data, which diagnosis would the nurse expect the physician to assign? 1. Delirium due to adverse effects of cardiac medications
2. Vascular neurocognitive disorder
3. Altered thought processes
4. Alzheimer's disease

ankilker · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Trying not to make an ordeal out of mealtime and food may allow the client to choose to eat, especially as his condition improves. Asking the client to please eat one meal for the nurse is bargaining and trying to make the client feel that he owes the nurse. Giving the client information about nutrition is not important to this client; his refusal to eat is not related to good or bad nutrition. Removing client privileges each time he doesn't eat goes against the client's rights.

Answer to Question 2

2
Rationale: The nurse should expect that the client will be diagnosed with vascular NCD, which is caused by significant cerebrovascular disease. Vascular NCD often has an abrupt onset. Progression of this disease often occurs in a fluctuating pattern.