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

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.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is D

Explanation

Choice A rationale:

Altered activity of serotonin, dopamine, and norepinephrine is a common neurobiological change associated with eating disorders. These neurotransmitters play key roles in mood regulation, reward pathways, and appetite control. Altered levels of these neurotransmitters can contribute to the development and maintenance of disordered eating behaviors.

Choice B rationale:

Altered structure and function of brain regions involved in processing hunger and satiety are commonly observed in individuals with eating disorders. Brain areas such as the hypothalamus, amygdala, and prefrontal cortex, which are responsible for regulating appetite, emotions, and decision-making, can exhibit changes in their neural activity and connectivity due to the impact of prolonged malnutrition and distorted eating behaviors.

Choice C rationale:

Altered connectivity and communication between brain regions and networks is another neurobiological change seen in eating disorders. The brain operates through complex networks, and disruptions in the communication between different regions can lead to dysfunctional behaviors and cognitive processes related to eating and body image.

Choice D rationale:

This choice is correct. All of the aforementioned changes—altered neurotransmitter activity, changes in brain structure and function, and altered connectivity between brain regions—are commonly observed in individuals with eating disorders. These neurobiological alterations underscore the complex interplay between biological, psychological, and environmental factors in the development and progression of these disorders.

A. Allow the client to continue avoiding meals to reduce stress. B. Provide positive reinforcement for not eating to encourage progress. C. Supervise meals and snacks to prevent food refusal or hiding. D. Advise the client to eat alone to avoid social pressure.

Correct Answer is C

Explanation

Choice A rationale:

Allowing the client to continue avoiding meals to reduce stress is not a suitable nursing intervention. It perpetuates the unhealthy behavior and does not contribute to the client's recovery.

Choice B rationale:

Providing positive reinforcement for not eating to encourage progress is also not appropriate. Positive reinforcement should be directed towards healthy behaviors rather than reinforcing the avoidance of meals.

Choice C rationale:

Supervising meals and snacks to prevent food refusal or hiding is an essential nursing intervention. Patients with eating disorders often engage in secretive behaviors related to food, so supervision helps ensure that they are receiving the necessary nutrition and support their recovery.

Choice D rationale:

Advising the client to eat alone to avoid social pressure is not a recommended intervention. Eating disorders thrive on isolation, and encouraging the client to eat alone could exacerbate the issue.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A client with an eating disorder avoids meals and snacks. What nursing intervention should the nurse implement to address this behavior?

Correct Answer is C

Explanation

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A nurse is assessing a patient with an eating disorder. Which of the following gastrointestinal symptoms would the nurse expect to find?

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