Which nursing intervention is of highest priority for a client ...

[meagbuch]

Which nursing intervention is of highest priority for a client with bulimia nervosa?
 
  a. Assist the client in identifying triggers to binge eating.
  b. Provide remedial consequences for weight loss.
  c. Assess for signs of impulsive eating.
  d. Explore needs for health teaching.

Question 2

Three policemen bring a client to the mental health unit. She had been directing traffic and shouting
  rhymes on a busy city street.
 
  Her husband reported that the client had stopped taking her lithium 3
  weeks ago and had not slept or eaten for 3 days. Which behaviors listed below will be of priority
  concern as the nurse begins a care plan for the client?
  a. Bizarre, colorful, inappropriate dress
  b. Grandiose thinking, poor concentration
  c. Insulting, provocative behavior directed at staff
  d. Hyperactivity, ignoring eating and sleeping

[pami445]

Answer to Question 1

A
For most clients with bulimia nervosa, certain situations trigger the urge to binge. Purging then
follows bingeing. Often the triggers are anxiety-producing situations. Identification of triggers
makes it possible to break the binge-purge cycle. Because binge eating and purging directly affect
physical status, the need to promote physical safety assumes highest priority.

Answer to Question 2

D
Hyperactivity, poor nutrition, hydration, and not sleeping take priority in terms of the needs listed
above because they threaten the physical integrity of the client. The other behaviors are less
threatening to the client's life.

[meagbuch]

Thank you

[pami445]

No problemo