A nurse is caring for a patient with anorexia nervosa. Which treatment approach would be the priority for this patient?

Stabilizing the patient's physical condition.

Addressing the psychological aspects of the disorder.

Preventing relapse and maintaining recovery.

Providing ongoing follow-up care.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Stabilizing the patient's physical condition. For individuals with severe eating disorders, especially anorexia nervosa, the priority is often to address their physical health and stabilize any medical complications arising from malnutrition. This might involve medical interventions, nutritional rehabilitation, and closely monitoring vital signs to prevent serious health consequences.

Choice B rationale:

Addressing the psychological aspects of the disorder. While addressing the psychological aspects is an integral part of treating eating disorders, it's crucial to prioritize physical health when dealing with severe cases. Malnutrition can lead to various medical complications, including electrolyte imbalances, organ damage, and cardiac issues. Without addressing the physical health first, psychological interventions might be less effective.

Choice C rationale:

Preventing relapse and maintaining recovery. Preventing relapse and maintaining recovery are important aspects of long-term treatment, but they become more relevant after the patient's physical condition has been stabilized. Once the immediate physical risks are minimized, efforts can shift toward addressing psychological factors and developing strategies to prevent relapse.

Choice D rationale:

Providing ongoing follow-up care. Ongoing follow-up care is essential for individuals with eating disorders to ensure that they continue to progress in their recovery journey and to monitor any potential relapse signs. However, this becomes more pertinent once the patient's physical condition has been stabilized and initial treatment has been provided.

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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.

A. "You're right, you shouldn't be eating.” B. "Don't worry, your weight is not a concern.” C. "It sounds like you have negative thoughts about your body.” D. "Eating is not important, we should focus on your medication.”

Correct Answer is C

Explanation

Choice A rationale:

The response "You're right, you shouldn't be eating." reinforces the client's negative and harmful belief about not deserving to eat. This response is not therapeutic and can worsen the client's condition.

Choice B rationale:

The response "Don't worry, your weight is not a concern." dismisses the client's feelings and doesn't address the underlying distorted thoughts about their body and food. It's important to acknowledge their emotions rather than trivialize them.

Choice C rationale:

The response "It sounds like you have negative thoughts about your body." shows empathy and reflective listening. It opens the door for further discussion about the client's feelings and allows the nurse to explore their thought patterns.

Choice D rationale:

The response "Eating is not important, we should focus on your medication." minimizes the significance of the client's eating disorder and focuses solely on medication, disregarding the psychological and nutritional aspects of treatment.

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A nurse is caring for a patient with anorexia nervosa. Which treatment approach would be the priority for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is implementing a care plan for a patient with an eating disorder. The patient says, "I don't want to eat. I'm afraid I'll gain weight." Which response by the nurse is appropriate?

Correct Answer is C

Explanation

A client with an eating disorder says, "I don't deserve to eat because I'm overweight." What response by the nurse is appropriate?

Correct Answer is C

Explanation

. Which of the following is a characteristic of anorexia nervosa?

A nurse is educating a patient with an eating disorder about the treatment options. Which statement made by the patient indicates a need for further teaching?

. Which of the following is a characteristic of binge eating disorder?

A nurse is caring for a patient with an eating disorder. Which statement indicates effective psychological care?

(Select all that apply):. A nurse is planning a care plan for a patient with an eating disorder. Which nursing interventions are appropriate for this patient? Select all that apply.

(Question from external source) Which of the following is a common neurobiological change associated with eating disorders?

. Which of the following is a characteristic of bulimia nervosa?

A nurse is assessing a patient with an eating disorder. The patient states, "I feel so fat and disgusting." Which response by the nurse is appropriate?