Implementation of the nursing treatment plan for the client with ...

[maychende]

Implementation of the nursing treatment plan for the client with bulimia may include which of the following?
 
  A) Increasing coping skills for anxiety
  B) Teaching good eating habits
  C) Encouraging isolation from peers for a time
  D) Meeting dependency needs

Question 2

A client with a diagnosis of schizophrenia has a history of auditory and visual hallucinations. Which of the following interventions is most likely to minimize the client's hallucinations?
 
  A) Ensuring that the client does not sleep more than 7 hours in any 24-hour period
  B) Clustering the client's medications at 0800 hours
  C) Providing a vivid, bright environment that provides distractions from hallucinations
  D) Creating a low-stimulation setting

[SVictor]

Answer to Question 1

Ans: A
Since clients with bulimia experience high anxiety levels and use the binge-purge cycle as a coping mechanism, increasing coping skills for anxiety is a high priority nursing intervention. The focus of treatment should be the underlying anxiety in specific situations instead of teaching about eating habits. Since the client already tends to isolate when bingeing and purging, increasing involvement with others would be a positive treatment modality. Meeting dependency needs is nontherapeutic; the nurse does not need to rescue the client but rather to teach the client to be less helpless.

Answer to Question 2

Ans: D
To prevent or minimize hallucinations, the nurse should decrease environmental stimuli such as loud noise, extremely bright colors, or flashing lights. Limiting sleep or modifying the timing of medication administration is not likely to prevent or lessen hallucinations.

[maychende]

Excellent

[Jossy]

TYSM