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

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.

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.