Author Question: An adolescent client currently weighs 50 of expected body weight and tells the nurse, I get upset ... (Read 61 times)

krzymel · **on:** Jun 25, 2018

An adolescent client currently weighs 50 of expected body weight and tells the nurse, I get upset and can't eat because my mother is constantly forcing food on me. Which treatments are indicated for this client?

Select all that apply.
A) Family-based psychotherapy
B) Hospitalization
C) Behavior modification
D) Medication to increase appetite
E) Placement with a foster family

Question 2

A nursing instructor is discussing moral principles with a group of students. Which comment made by a student nurse indicates the need for further instruction?

A) A client choosing not to have a needed blood transfusion is an example of autonomy.
B) An example of veracity would be if a client asks her nurse if she is going to die and the nurse feels obligated to explain to the client that she is dying.
C) If a client asks the nurse to please come right back, and the nurse tells the client he will be back in just a couple of minutes, then that would be an example of fidelity.
D) A home health nurse carefully planning his or her day to assure each client gets an adequate amount of time is an example of beneficence.

cam1229 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, B, C

Indications for hospitalization are a loss of 25-30 of body weight. The client currently weighs 50 of expected body weight and could need hospitalization. Behavior modification techniques are used extensively in combination with counseling and other methods in care of the hospitalized anorexic client. Family-based psychotherapy is also indicated as the client feels the mother is forcing her to eat. Moving the client to a foster family is an extreme measure and might not help the problem. Medication to increase appetite is not an approved method of treatment for a client with an eating disorder.

Answer to Question 2

Answer: D

Justice is often referred to as fairness, which would be demonstrated by the nurse assuring that each client gets an adequate amount of time with the nurse. Beneficence refers to the fact that nurses are obligated to do good. Autonomy refers to the right to make one's own decisions. Veracity refers to telling the truth. Fidelity means to be faithful to agreements and promises.