A client with an eating disorder says, "I don't deserve to eat because I'm overweight." What response by the nurse is appropriate?

"You're right, you shouldn't be eating.”

"Don't worry, your weight is not a concern.”

"It sounds like you have negative thoughts about your body.”

"Eating is not important, we should focus on your medication.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The response "You're right, you shouldn't be eating." reinforces the client's negative and harmful belief about not deserving to eat. This response is not therapeutic and can worsen the client's condition.

Choice B rationale:

The response "Don't worry, your weight is not a concern." dismisses the client's feelings and doesn't address the underlying distorted thoughts about their body and food. It's important to acknowledge their emotions rather than trivialize them.

Choice C rationale:

The response "It sounds like you have negative thoughts about your body." shows empathy and reflective listening. It opens the door for further discussion about the client's feelings and allows the nurse to explore their thought patterns.

Choice D rationale:

The response "Eating is not important, we should focus on your medication." minimizes the significance of the client's eating disorder and focuses solely on medication, disregarding the psychological and nutritional aspects of treatment.

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Correct Answer is A

Explanation

Choice A rationale:

This is the correct action to take. Evaluating the effectiveness of nursing interventions involves reassessing the patient's condition and comparing it to the expected outcomes. This step helps determine whether the interventions are producing the desired results and if any adjustments are needed.

Choice B rationale:

While documenting the nursing assessment, diagnosis, and plan is essential for maintaining accurate patient records, it is not the most direct action for evaluating the effectiveness of interventions. Documentation supports continuity of care but doesn't provide immediate insight into intervention outcomes.

Choice C rationale:

Involving the family in the treatment process (choice C) can be important for a patient's overall well-being, but it doesn't directly address the evaluation of nursing interventions. Family involvement is more related to the planning and implementation stages of care.

Choice D rationale:

Consulting with other members of the multidisciplinary team is a collaborative approach to patient care, but it's not the primary action for evaluating the effectiveness of nursing interventions. Team collaboration contributes to comprehensive care but doesn't directly assess intervention outcomes.

A. Allow the client to continue avoiding meals to reduce stress. B. Provide positive reinforcement for not eating to encourage progress. C. Supervise meals and snacks to prevent food refusal or hiding. D. Advise the client to eat alone to avoid social pressure.

Correct Answer is C

Explanation

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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A client with an eating disorder says, "I don't deserve to eat because I'm overweight." What response by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the effectiveness of the nursing interventions for a patient with an eating disorder. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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

A nurse is assessing a patient with bulimia nervosa. Which of the following cardiovascular symptoms would the nurse expect to find?

(Select all that apply):. A nurse is implementing nursing interventions for a patient with an eating disorder. Which interventions are appropriate for this patient's condition? (Choose three.)

A nurse is providing care for a patient with an eating disorder. The patient states, "I feel so fat and disgusting." Which response by the nurse is appropriate?

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?

A nurse is providing education to a group of adolescents about eating disorders. Which statement by one of the participants indicates a need for further education?

A nurse is caring for a client with avoidant/restrictive food intake disorder (ARFID) Which assessment finding would be consistent with this diagnosis?