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    ATI Mental Health Assessment Proctored Exam (Capstone)
    Select All That Apply

    The nurse continues to care for the client Exhibits The nurse is planning care for the client. Which of the following parameters should the nurse plan to monitor throughout the client's stay? Select all that apply.

    Explanation & Rationale

    A. Participation in group therapy is not an essential parameter to monitor throughout the client’s stay. While group therapy is beneficial, the priority is physical stabilization rather than participation in therapy sessions. B. Body weight must be monitored regularly to assess progress, prevent further malnutrition, and avoid dangerous weight loss. Clients with anorexia may attempt to conceal weight loss or manipulate weigh-ins, so structured and controlled monitoring is necessary. C. Oral intake should be tracked to ensure the client is consuming adequate calories and nutrients. Clients with anorexia may restrict food, hide meals, or refuse to eat, so close observation and documentation of intake are necessary. D. White blood cell count should be monitored because severe malnutrition can suppress the immune system, leading to leukopenia and increased infection risk. Tracking WBC count helps assess immune function and overall nutritional status. E. Self-esteem is not a key parameter to track throughout hospitalization. While low self-esteem is common in eating disorders, it is typically addressed in long-term therapy rather than as a primary focus of inpatient monitoring. F. Anxiety level should be monitored because the client has a history of generalized anxiety disorder and has expressed distress about hospitalization. Anxiety can contribute to maladaptive eating behaviors, so it must be closely managed during treatment. G. Blood pressure should be monitored as clients with anorexia nervosa often experience hypotension due to malnutrition, dehydration, and electrolyte imbalances. Keeping track of blood pressure helps assess cardiovascular stability and prevents complications like orthostatic hypotension or cardiac arrhythmias.

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