Page 2319 - Saunders Comprehensive Review For NCLEX-RN

Reference: Varcarolis (2017), pp. 184-185.

822. Answer: 2

Rationale: Clients with anorexia nervosa frequently are preoccupied with
rigorous exercise and push themselves beyond normal limits to work off caloric
intake. The nurse must provide for appropriate exercise and place limits on rigorous
activities. The correct option stops the harmful behavior yet provides the client with
an activity to decrease anxiety that is not harmful. Weighing the client immediately
reinforces the client’s preoccupation with weight. Allowing the client to complete the
exercise program can be harmful to the client. Telling the client that she is not
allowed to complete the exercise program will increase the client’s anxiety.
Test-Taking Strategy: Note the strategic words, most appropriate, and focus on the
client’s diagnosis. Also, focus on the need for the nurse to maintain safety and to set
firm limits with clients who have this disorder.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Mental Health
Health Problem: Mental Health: Eating Disorders
Priority Concepts: Anxiety; Safety
Reference: Potter et al. (2017), p. 1060.

823. Answer: 2

Rationale: The client undergoing diagnostic tests is an acceptable roommate. The
client with anorexia nervosa is most likely experiencing hematological
complications, such as leukopenia. Having a roommate with pneumonia would
place the client with anorexia nervosa at risk for infection. The client with anorexia
nervosa should not be put in a situation in which the client can focus on the
nutritional needs of others or be managed by others, because this may contribute to
sublimation and suppression of personal hunger.
Test-Taking Strategy: Note the strategic word, best, and note the words in a state of
starvation in the question. Recalling the characteristics of anorexia nervosa and that
the client is immunocompromised as a result of starvation will direct you to the
correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Planning
Content Area: Mental Health
Health Problem: Mental Health: Eating Disorders
Priority Concepts: Care Coordination; Safety
Reference: Varcarolis (2017), p. 185.

824. Answer: 4

Rationale: Symptoms associated with alcohol withdrawal delirium typically

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