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    Mental Health Proctored Exam (examplify)

    A 19-year old female is being hospitalized with a BMI of 16. For over a year, she has been dieting and has become more withdrawn from friends and family. She continues to perform well in college classes. A ECG showed bradycardia and her temperature is 36C. When obtaining a daily weight for the patient in the acute-care unit who has Anorexia Nervosa, the nurse checks:

    Explanation & Rationale

    A. That the patient can see the weight to minimize anxiety: Allowing a patient with anorexia nervosa to see their weight can increase anxiety, reinforce preoccupation with weight, and trigger maladaptive behaviors. Visual exposure to numbers is generally avoided in acute care settings. B. To make sure that the patient knows their exact weight so that they participate in care: Providing the exact weight to the patient may exacerbate obsessive behaviors, weight fixation, or compulsive restriction. Participation in care is encouraged through behavioral and therapeutic interventions rather than weight-focused feedback. C. For "tricks" that could cause the measured weight to be more than actual weight of the patient: Patients with anorexia nervosa may attempt to manipulate weight measurements through hiding objects, layering clothing, or other behaviors. Nursing assessment includes careful observation to ensure accurate daily weights for safe medical management. D. That the patient is always wearing layered gowns to ensure privacy during weight checks: While patient privacy is important, layered gowns could be used to mask attempts to manipulate weight. Standardized clothing or hospital gowns without layering is preferred to maintain both privacy and measurement accuracy.

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