Practice Question
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Answer Choices:
Correct Answer:
Identity the clients nutritional status.
Rationale:
🟡 The client presents with severe weight loss (40 kg / 88 lb) and distorted body image, indicating anorexia nervosa or severe malnutrition.
🟡 Determining the nutritional status is the priority, as this client is at risk for electrolyte imbalances, cardiac arrhythmias, and organ failure.
🟡 A comprehensive assessment should include labs (albumin, electrolytes), BMI, and intake patterns.
🟡 Interventions can only be planned appropriately after identifying immediate physiological needs.
🟡 Medical stabilization always comes before psychological therapy in eating disorder treatment.
Want to practice more questions like this?
This question is from RN ATI Mental Health NPRO200 Exam which contains 41 questions.
More Questions from This Exam
The client presents to the emergency department with a headache in the back of the head, diaphoresis, and neck stiffness. The clients blood pressure measures 180/124 mm Hg and heart rate is 168 beats/min. The spouse says the client is currently prescribed "something for depression" and denies any history of cardiac disease. The nurse should suspect the use of what medication?
Answer Choices:
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Answer Choices:
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Answer Choices:
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Answer Choices:
Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year- old child?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4