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?
"You should try to eat healthier and exercise more.”
"You're not fat, you're beautiful just the way you are.”
"I understand how you feel. Many people with eating disorders struggle with body image.”
"You need to stop worrying about your weight and focus on other things.”
The Correct Answer is C
Choice A rationale:
This response oversimplifies the issue and places the blame on the patient's behavior. It may contribute to feelings of guilt and shame, hindering open communication about their struggles.
Choice B rationale:
While the intention behind this response is positive, it reinforces the patient's focus on appearance. It's important to shift the focus from external appearance to overall health and well-being.
Choice C rationale:
This response is empathetic and acknowledges the common struggle that individuals with eating disorders face. It validates the patient's feelings while also indicating that they are not alone in their experiences.
Choice D rationale:
This response dismisses the patient's concerns and implies that their feelings are insignificant. It's essential to validate and address the patient's feelings rather than deflecting their concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"I might need to be hospitalized to stabilize my physical condition." Hospitalization is often necessary for individuals with severe eating disorders, such as anorexia nervosa with significant medical complications. Inpatient treatment might be required to stabilize the patient's physical condition, provide proper nutrition, and address any medical complications arising from malnutrition.
Choice B rationale:
"Psychotherapy and medication can help address the psychological aspects of my disorder." Psychotherapy, often including cognitive-behavioral therapy (CBT), and medication can indeed play crucial roles in treating eating disorders. These approaches help address the underlying psychological factors contributing to the disorder and aid in promoting healthier eating behaviors. This statement indicates that the patient understands the comprehensive nature of treatment.
Choice C rationale:
"Relapse prevention strategies are not necessary once I have recovered." This statement is indicative of a misunderstanding about the nature of eating disorders. Relapse prevention strategies are essential to maintain recovery and prevent relapse. Eating disorders have a psychological component, and individuals need to continue practicing healthy behaviors, coping skills, and strategies even after they have made progress in their recovery journey.
Choice D rationale:
"Social support, such as family involvement or peer support, can be helpful in maintaining recovery." Social support is indeed valuable for individuals with eating disorders. Engaging with family, friends, or support groups can contribute to the maintenance of recovery. The statement reflects an accurate understanding of the role of social support in the treatment and recovery process.
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.
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