A client with an eating disorder has a distorted body image and irrational beliefs. What therapeutic approach should the nurse use to address this issue?

Choice A rationale:

Monitoring vital signs and weight may be relevant in the assessment of a patient with an eating disorder, especially if their condition has led to physical complications. However, it is not the primary nursing responsibility in this context. The emotional and psychological aspects of care are of higher priority.

Choice B rationale:

Providing emotional support and promoting self-esteem is crucial in the assessment of a patient with an eating disorder. Patients with eating disorders often struggle with body image issues and low self-esteem. Offering emotional support can help build a therapeutic relationship and create a safe environment for the patient to express their feelings and concerns.

Choice C rationale:

Assessing nutritional needs and developing a meal plan is indeed important in managing eating disorders. However, in the context of assessment, it is a secondary responsibility that comes after addressing the patient's emotional well-being. Establishing trust and understanding the psychological factors at play are fundamental before delving into nutritional planning.

Choice D rationale:

Respecting the patient's beliefs and values is a fundamental aspect of nursing care across all contexts, including eating disorders. While respecting beliefs and values is essential, it is not the primary nursing responsibility specifically in the assessment phase of a patient with an eating disorder.

Eating until feeling uncomfortably full.

Choice A rationale:

Eating until feeling uncomfortably full is a characteristic of binge eating disorder. Binge eating involves consuming an excessive amount of food within a discrete period while feeling a lack of control over eating. This often results in physical discomfort due to the large quantity of food consumed.

Choice B rationale:

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are more characteristic of bulimia nervosa, not binge eating disorder. In binge eating disorder, there is no consistent use of inappropriate compensatory behaviors such as vomiting or excessive exercise to counteract the binge episodes.

Choice C rationale:

Eating more rapidly than normal can be a characteristic of binge eating episodes, but it is not a defining feature of binge eating disorder. Binge eating disorder is primarily characterized by the consumption of large amounts of food within a short period and the sense of lack of control during these episodes.

Choice D rationale:

Recurrent episodes of night eating is not a characteristic of binge eating disorder. Night eating disorder is a separate condition characterized by consuming a significant portion of daily caloric intake during the nighttime hours.

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