A client with an eating disorder avoids meals and snacks. What nursing intervention should the nurse implement to address this behavior?

Allow the client to continue avoiding meals to reduce stress.

Provide positive reinforcement for not eating to encourage progress.

Supervise meals and snacks to prevent food refusal or hiding.

Advise the client to eat alone to avoid social pressure.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Allowing the client to continue avoiding meals to reduce stress is not a suitable nursing intervention. It perpetuates the unhealthy behavior and does not contribute to the client's recovery.

Choice B rationale:

Providing positive reinforcement for not eating to encourage progress is also not appropriate. Positive reinforcement should be directed towards healthy behaviors rather than reinforcing the avoidance of meals.

Choice C rationale:

Supervising meals and snacks to prevent food refusal or hiding is an essential nursing intervention. Patients with eating disorders often engage in secretive behaviors related to food, so supervision helps ensure that they are receiving the necessary nutrition and support their recovery.

Choice D rationale:

Advising the client to eat alone to avoid social pressure is not a recommended intervention. Eating disorders thrive on isolation, and encouraging the client to eat alone could exacerbate the issue.

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Correct Answer is A

Explanation

Choice A rationale:

In the treatment of anorexia nervosa, stabilizing the patient's physical condition takes precedence as the first priority. Individuals with anorexia often experience severe weight loss, malnutrition, electrolyte imbalances, and other medical complications that can be life-threatening. Therefore, the initial focus is on restoring the patient's health and preventing any immediate physical harm.

Choice B rationale:

While addressing the psychological aspects of the disorder is crucial, it comes after stabilizing the patient's physical condition. Psychological interventions, therapy, and counseling are essential components of treatment, but they can be more effective once the individual's body is in a more stable and nourished state.

Choice C rationale:

Preventing relapse and maintaining recovery is an important long-term goal in treating anorexia nervosa, but it is not the first priority. After stabilizing the patient's physical health, efforts are directed toward helping the individual develop coping strategies, address distorted body image, and establish healthier eating patterns to prevent relapse in the future.

Choice D rationale:

Providing ongoing follow-up care is important throughout the recovery process, but it is not the primary focus in the initial treatment of anorexia nervosa. Once the patient's physical condition is stabilized, follow-up care becomes valuable for monitoring progress, adjusting treatment strategies, and providing continued support.

Questions

A. "You should just focus on physical recovery for now.” B. "You need to follow the meal plan exactly as it is.” C. "I understand that distorted body image can be challenging.” D. "You should isolate yourself from group therapy sessions.”

Correct Answer is C

Explanation

Choice A rationale:

The statement "You should just focus on physical recovery for now." neglects the psychological aspect of the patient's condition. Eating disorders are complex and involve both physical and psychological components, so focusing solely on physical recovery is not effective.

Choice B rationale:

The statement "You need to follow the meal plan exactly as it is." might come across as rigid and lacking empathy. It doesn't address the patient's emotional struggles and distorted beliefs about food and body image.

Choice C rationale:

The statement "I understand that distorted body image can be challenging." shows empathy and acknowledges the psychological aspect of the disorder. It demonstrates that the nurse comprehends the patient's experience and is willing to provide psychological support.

Choice D rationale:

The statement "You should isolate yourself from group therapy sessions." is counterproductive. Group therapy can be highly beneficial for individuals with eating disorders, as it provides a supportive environment and helps combat the isolation often experienced by these patients.

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A client with an eating disorder avoids meals and snacks. What nursing intervention should the nurse implement to address this behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Question from external source) What is the first priority in the treatment of anorexia nervosa?

Correct Answer is A

Explanation

A nurse is caring for a patient with an eating disorder. Which statement indicates effective psychological care?

Correct Answer is C

Explanation

A nurse is caring for a client with anorexia nervosa. Which statement by the nurse is most appropriate?

(Question from external source) Which of the following is a common pathophysiological change associated with eating disorders?

A nurse is assessing a patient with an eating disorder. Which of the following gastrointestinal symptoms would the nurse expect to find?

(Select all that apply):. A nurse is planning a care plan for a patient with an eating disorder. Which nursing interventions are appropriate for this patient? Select all that apply.

A nurse is conducting a comprehensive assessment of a patient with an eating disorder. Which aspects should the nurse assess to provide holistic care?

A nurse is collaborating with a multidisciplinary team to provide care for a patient with an eating disorder. What is a key responsibility of the nurse in this context?

(Question from external source) Which of the following is a common neurobiological change associated with eating disorders?

A client with binge eating disorder reports feeling guilty and depressed after episodes of binge eating. Which nursing diagnosis is most appropriate for this client?