A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?
"I spend lots of time searching for new recipes."
"I have so much energy."
"I enjoy wearing form-fitting clothes to show off my body."
"I know I am skinny."
The Correct Answer is D
Rationale:
A. Spending time searching for new recipes does not necessarily indicate anorexia nervosa and might be associated with interest in food without consumption.
B. Reporting high energy levels is not characteristic of anorexia nervosa, where clients often suffer from fatigue due to inadequate nutrition.
C. Enjoying wearing form-fitting clothes is more indicative of a positive body image, which is not typical of those with anorexia nervosa.
D. The statement "I know I am skinny" reflects an awareness of low body weight, which, in the context of anorexia nervosa, might indicate a distorted body image and an unhealthy focus on being underweight.
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Correct Answer is A
Explanation
Rationale:
A. The primary criterion for removing restraints is that the client must be calm and cooperative, indicating that the immediate safety concern has been addressed.
B. Verbalizing remorse is not a requirement for removing restraints; the focus is on the client's behavior and cooperation.
C. The provider does not need to be present for the nurse to assess the client's readiness for removal of restraints, although provider orders and assessments are important.
D. Simply verbalizing anger does not indicate that the restraints can be removed; the client must demonstrate appropriate behavior and cooperation.
Correct Answer is A
Explanation
Rationale:
A. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for anxiety disorders, including illness anxiety disorder. It helps to manage the anxiety symptoms associated with the condition.
B. Haloperidol is an antipsychotic medication used to treat schizophrenia and other psychotic disorders but is not typically prescribed for illness anxiety disorder.
C. Olanzapine is an antipsychotic medication used to treat schizophrenia and bipolar disorder but is not generally used for illness anxiety disorder.
D. Carbamazepine is an anticonvulsant and mood stabilizer used to treat bipolar disorder and epilepsy, but it is not indicated for illness anxiety disorder.