A nurse is caring for a patient with an eating disorder. Which nursing intervention is appropriate for this patient?
Monitoring vital signs and weight.
Providing emotional support and promoting self-esteem.
Assessing nutritional needs and developing a meal plan.
Respecting the patient's beliefs and values.
The Correct Answer is B
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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
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.
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.
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