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:
This response oversimplifies the issue and places the blame on the patient's behavior. It may contribute to feelings of guilt and shame, hindering open communication about their struggles.
Choice B rationale:
While the intention behind this response is positive, it reinforces the patient's focus on appearance. It's important to shift the focus from external appearance to overall health and well-being.
Choice C rationale:
This response is empathetic and acknowledges the common struggle that individuals with eating disorders face. It validates the patient's feelings while also indicating that they are not alone in their experiences.
Choice D rationale:
This response dismisses the patient's concerns and implies that their feelings are insignificant. It's essential to validate and address the patient's feelings rather than deflecting their concerns.
Correct Answer is C
Explanation
Altered levels of leptin and ghrelin.
Choice A rationale:
Increased levels of cortisol and thyroid hormones are not commonly associated with eating disorders. Cortisol is a stress hormone, and while stress can play a role in eating behaviors, it is not a consistent physiological change across all eating disorders. Thyroid hormones play a role in metabolism, but their direct link to eating disorders is limited.
Choice B rationale:
Decreased levels of growth hormone and insulin are not commonly associated with eating disorders. Growth hormone and insulin are primarily involved in growth regulation and glucose metabolism, respectively, and their alterations are not central to the core characteristics of eating disorders.
Choice C rationale:
Altered levels of leptin and ghrelin are commonly associated with eating disorders. Leptin is a hormone that regulates appetite and signals satiety. Individuals with eating disorders may have disrupted leptin levels, contributing to disturbances in appetite and hunger regulation. Ghrelin is a hormone that stimulates appetite, and its dysregulation can also play a role in eating disorder behaviors.
Choice D rationale:
Elevated levels of sex hormones and growth hormone are not consistently associated with eating disorders. While some hormonal changes can occur due to malnutrition and extreme weight loss, they are not universally seen across all individuals with eating disorders. The hormonal changes seen in eating disorders are more often related to appetite regulation and metabolism.
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