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

Choice A rationale:

Prescribing medications for the patient is not a key responsibility of the nurse in this context. While nurses may administer medications, the prescription and management of medications typically fall under the purview of medical doctors or advanced practice nurses.

Choice B rationale:

Isolating the patient from family involvement is not a key responsibility of the nurse. In fact, involving the patient's family and support system is often beneficial for the patient's recovery in the context of an eating disorder.

Choice C rationale:

Sharing information and coordinating care is a key responsibility of the nurse when collaborating with a multidisciplinary team for a patient with an eating disorder. The nurse acts as a central point of communication, ensuring that all members of the team are informed about the patient's condition, treatment plan, and progress. This helps create a comprehensive and coordinated approach to care.

Choice D rationale:

Referring the patient to only a dietitian is not sufficient in addressing the complex needs of a patient with an eating disorder. While dietitians play an important role, the nurse's responsibility involves a broader scope of care coordination and collaboration with various team members.

Choice E rationale:

Exclusively participating in team meetings is not the sole responsibility of the nurse. While team meetings are important, the nurse's role extends beyond attending meetings and includes hands-on patient care, communication, and coordination of care activities.

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.