A nurse is evaluating the effectiveness of the nursing interventions for a patient with an eating disorder. Which of the following actions should the nurse take?
Reassess the patient's condition and compare it to the expected outcomes.
Document the nursing assessment, diagnosis, and plan.
Involve the family in the treatment process.
Consult with other members of the multidisciplinary team.
The Correct Answer is A
Choice A rationale:
This is the correct action to take. Evaluating the effectiveness of nursing interventions involves reassessing the patient's condition and comparing it to the expected outcomes. This step helps determine whether the interventions are producing the desired results and if any adjustments are needed.
Choice B rationale:
While documenting the nursing assessment, diagnosis, and plan is essential for maintaining accurate patient records, it is not the most direct action for evaluating the effectiveness of interventions. Documentation supports continuity of care but doesn't provide immediate insight into intervention outcomes.
Choice C rationale:
Involving the family in the treatment process (choice C) can be important for a patient's overall well-being, but it doesn't directly address the evaluation of nursing interventions. Family involvement is more related to the planning and implementation stages of care.
Choice D rationale:
Consulting with other members of the multidisciplinary team is a collaborative approach to patient care, but it's not the primary action for evaluating the effectiveness of nursing interventions. Team collaboration contributes to comprehensive care but doesn't directly assess intervention outcomes.
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Correct Answer is C
Explanation
Altered levels of leptin and ghrelin.
Choice A rationale:
Increased levels of cortisol and thyroid hormones are not commonly associated with eating disorders. Cortisol is a stress hormone, and while stress can play a role in eating behaviors, it is not a consistent physiological change across all eating disorders. Thyroid hormones play a role in metabolism, but their direct link to eating disorders is limited.
Choice B rationale:
Decreased levels of growth hormone and insulin are not commonly associated with eating disorders. Growth hormone and insulin are primarily involved in growth regulation and glucose metabolism, respectively, and their alterations are not central to the core characteristics of eating disorders.
Choice C rationale:
Altered levels of leptin and ghrelin are commonly associated with eating disorders. Leptin is a hormone that regulates appetite and signals satiety. Individuals with eating disorders may have disrupted leptin levels, contributing to disturbances in appetite and hunger regulation. Ghrelin is a hormone that stimulates appetite, and its dysregulation can also play a role in eating disorder behaviors.
Choice D rationale:
Elevated levels of sex hormones and growth hormone are not consistently associated with eating disorders. While some hormonal changes can occur due to malnutrition and extreme weight loss, they are not universally seen across all individuals with eating disorders. The hormonal changes seen in eating disorders are more often related to appetite regulation and metabolism.
Correct Answer is A
Explanation
Choice A rationale:
In the treatment of anorexia nervosa, stabilizing the patient's physical condition takes precedence as the first priority. Individuals with anorexia often experience severe weight loss, malnutrition, electrolyte imbalances, and other medical complications that can be life-threatening. Therefore, the initial focus is on restoring the patient's health and preventing any immediate physical harm.
Choice B rationale:
While addressing the psychological aspects of the disorder is crucial, it comes after stabilizing the patient's physical condition. Psychological interventions, therapy, and counseling are essential components of treatment, but they can be more effective once the individual's body is in a more stable and nourished state.
Choice C rationale:
Preventing relapse and maintaining recovery is an important long-term goal in treating anorexia nervosa, but it is not the first priority. After stabilizing the patient's physical health, efforts are directed toward helping the individual develop coping strategies, address distorted body image, and establish healthier eating patterns to prevent relapse in the future.
Choice D rationale:
Providing ongoing follow-up care is important throughout the recovery process, but it is not the primary focus in the initial treatment of anorexia nervosa. Once the patient's physical condition is stabilized, follow-up care becomes valuable for monitoring progress, adjusting treatment strategies, and providing continued support.
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