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

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

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Choice A rationale:

Monitoring vital signs and weight (choice A) is crucial for patients with eating disorders, but it focuses mainly on the physical aspect of care. The emotional and psychological aspects are equally important and need attention.

Choice B rationale:

This is the correct intervention. Patients with eating disorders often struggle with body image and self-esteem issues. Providing emotional support and promoting self-esteem can contribute to their overall well-being and recovery.

Choice C rationale:

Assessing nutritional needs and developing a meal plan (choice C) is an essential component of care for patients with eating disorders. However, it primarily addresses the physical aspect of the disorder and doesn't fully encompass the emotional and psychological dimensions.

Choice D rationale:

Respecting the patient's beliefs and values (choice D) is a fundamental aspect of patient-centered care, but it's not the most specific intervention for addressing the complex needs of someone with an eating disorder. Additional supportive actions are necessary.