A nurse is caring for a client with anorexia nervosa. Which statement by the nurse is most appropriate?
"You need to start eating more to gain weight.".
"You should stop restricting your food intake to prevent further weight loss.".
"I understand that you're afraid of gaining weight, but it's important for your health.".
"You should try exercising more to increase your appetite.".
The Correct Answer is C
Choice A rationale:
This choice is inappropriate. In anorexia nervosa, encouraging the client to eat more may not address the underlying psychological and emotional issues related to the disorder. It oversimplifies the complexity of the disorder and could further exacerbate the client's anxiety about weight gain.
Choice B rationale:
This choice is inappropriate. Telling the client to stop restricting food intake oversimplifies the challenges of anorexia nervosa. Recovery involves addressing both the physical and psychological aspects of the disorder, and such a statement may not provide the necessary support and understanding.
Choice C rationale:
This choice is accurate. This statement acknowledges the client's fear of gaining weight while also emphasizing the importance of their health. It demonstrates empathy and understanding while promoting a balanced perspective on the client's concerns.
Choice D rationale:
This choice is inappropriate. Encouraging the client to exercise more as a way to increase appetite overlooks the fact that anorexia nervosa is not solely about appetite suppression. The disorder involves complex psychological factors that cannot be addressed through simple solutions like increased exercise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Telling the patient, "You need to eat to maintain your health," is directive and may come across as dismissive of the patient's concerns. This response doesn't address the patient's fear and could potentially increase their resistance.
Choice B rationale:
Saying, "You're not overweight. You don't need to worry about gaining weight," disregards the patient's feelings and trivializes their anxiety. It's essential to acknowledge their fear and provide appropriate information and support.
Choice C rationale:
This is the correct response. Acknowledging the patient's fear while also emphasizing the potential harm of not eating is empathetic and informative. It opens the door for further discussion and education about the consequences of disordered eating.
Choice D rationale:
Responding with, "You should focus on something other than your weight," avoids addressing the patient's concerns and feelings. It's crucial to address their fears in a supportive and educational manner.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Monitoring vital signs and weight is important, but it primarily falls under the medical management of the patient's condition rather than within the scope of nursing interventions for promoting psychological well-being in a care plan for eating disorders.
Choice B rationale:
Providing positive reinforcement for eating is appropriate as patients with eating disorders often struggle with food-related anxieties. Positive reinforcement can encourage them to establish healthier eating habits and reduce fear around food.
Choice C rationale:
Teaching coping skills and stress management techniques is essential. Many patients with eating disorders use disordered eating behaviors as coping mechanisms. Providing alternative coping strategies can help them manage stress without resorting to unhealthy behaviors.
Choice D rationale:
Involving the family in the treatment process can be beneficial. Eating disorders can affect not only the individual but also the family dynamics. Educating the family about the disorder, its triggers, and how to provide support can contribute to the patient's overall recovery.
Choice E rationale:
Respecting the patient's beliefs and values is crucial in building trust and rapport. It helps create a patient-centered approach that considers their individual preferences and cultural factors when developing and implementing the care plan.
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