Author Question: A cognitive strategy the nurse could use to help an excessively dependent client would be to have ... (Read 53 times)

SGallaher96 · **on:** Jul 19, 2018

A cognitive strategy the nurse could use to help an excessively dependent client would be to have
the client

a. reveal his or her dreams.
b. take prescribed medications.
c. examine his or her thoughts about being independent.
d. choose an applicable diagnostic label from the DSM-IV-TR.

Question 2

A client referred to the eating disorders clinic has been diagnosed as having anorexia nervosa.
History reveals she virtually stopped eating 5 months ago and has lost 25 of her body weight. Lab
tests reveal hypokalemia.

On the basis of what is currently known about the client, the nursing
diagnosis that can be established is
a. adult failure to thrive related to abuse of laxatives, as evidenced by electrolyte
imbalances.
b. disturbed energy field related to physical exertion in excess of energy produced
through caloric intake, as evidenced by weight loss.
c. ineffective health maintenance related to self-induced vomiting, as evidenced by
swollen parotid glands.
d. imbalanced nutrition: less than body requirements related to refusal to eat, as
evidenced by loss of 25 of body weight.

Andromeda18 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Cognitive theory suggests that one's thought processes are the basis of emotions and behavior.
Changing faulty learning makes development of new adaptive behaviors possible. Option A would
be used in psychoanalytically oriented therapy. Option B is an intervention associated with
biological therapy. Option D is not an appropriate intervention. Medical diagnosis is the prerogative
of the medical practitioner or advanced practice registered nurse.

Answer to Question 2

D
The client's history supports this nursing diagnosis. Options A, B, and C: Data are not present that
the client uses laxatives, induces vomiting, or exercises excessively.