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
Choice A rationale:
The statement "You should just focus on physical recovery for now." neglects the psychological aspect of the patient's condition. Eating disorders are complex and involve both physical and psychological components, so focusing solely on physical recovery is not effective.
Choice B rationale:
The statement "You need to follow the meal plan exactly as it is." might come across as rigid and lacking empathy. It doesn't address the patient's emotional struggles and distorted beliefs about food and body image.
Choice C rationale:
The statement "I understand that distorted body image can be challenging." shows empathy and acknowledges the psychological aspect of the disorder. It demonstrates that the nurse comprehends the patient's experience and is willing to provide psychological support.
Choice D rationale:
The statement "You should isolate yourself from group therapy sessions." is counterproductive. Group therapy can be highly beneficial for individuals with eating disorders, as it provides a supportive environment and helps combat the isolation often experienced by these patients.
Correct Answer is C
Explanation
Choice A rationale:
Ignoring the client's beliefs to avoid escalating distress is not a therapeutic approach. Addressing cognitive distortions and irrational beliefs is crucial in helping the client reframe their thoughts and promote healthier behaviors.
Choice B rationale:
Encouraging the client to engage in self-isolation is counterproductive. Isolation can worsen the client's condition and hinder their recovery.
Choice C rationale:
Addressing cognitive distortions and irrational beliefs is the appropriate therapeutic approach. This involves working with the client to identify and challenge negative thought patterns, helping them develop a more realistic perception of their body image and self-worth.
Choice D rationale:
Avoiding discussing body image to prevent embarrassment is not effective. Open and sensitive discussions about body image are important in the therapeutic process to help the client gain insight into their feelings and beliefs.
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