A nurse is conducting an assessment of a patient with an eating disorder. Which of the following is a nursing responsibility in this assessment?

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.

Choice A rationale:

Monitoring vital signs and weight may be relevant in the assessment of a patient with an eating disorder, especially if their condition has led to physical complications. However, it is not the primary nursing responsibility in this context. The emotional and psychological aspects of care are of higher priority.

Choice B rationale:

Providing emotional support and promoting self-esteem is crucial in the assessment of a patient with an eating disorder. Patients with eating disorders often struggle with body image issues and low self-esteem. Offering emotional support can help build a therapeutic relationship and create a safe environment for the patient to express their feelings and concerns.

Choice C rationale:

Assessing nutritional needs and developing a meal plan is indeed important in managing eating disorders. However, in the context of assessment, it is a secondary responsibility that comes after addressing the patient's emotional well-being. Establishing trust and understanding the psychological factors at play are fundamental before delving into nutritional planning.

Choice D rationale:

Respecting the patient's beliefs and values is a fundamental aspect of nursing care across all contexts, including eating disorders. While respecting beliefs and values is essential, it is not the primary nursing responsibility specifically in the assessment phase of a patient with an eating disorder.