(Question from external source) Which of the following is a treatment approach for anorexia nervosa?
Stabilizing the patient's physical condition.
Addressing the psychological aspects of the disorder.
Preventing relapse and maintaining recovery.
Providing ongoing follow-up care.
The Correct Answer is A
Choice A rationale:
Stabilizing the patient's physical condition. This is the correct choice. In the treatment of anorexia nervosa, it is crucial to address the medical complications that arise from severe malnutrition and weight loss. Refeeding and restoring the patient's nutritional status are top priorities to prevent further health deterioration. This often requires a structured refeeding plan and medical monitoring to ensure gradual weight gain and avoid refeeding syndrome, a potentially life-threatening condition that can occur when nutrients are reintroduced too rapidly.
Choice B rationale:
Addressing the psychological aspects of the disorder. Addressing the psychological aspects of anorexia nervosa is indeed an essential component of treatment, but it usually comes after stabilizing the patient's physical condition. The distorted body image, fear of weight gain, and other psychological factors need to be addressed in therapy and counseling during the recovery process. However, attempting to address these psychological aspects before stabilizing the patient's physical health can be challenging and less effective.
Choice C rationale:
Preventing relapse and maintaining recovery. Preventing relapse and maintaining recovery are important treatment goals in the long-term management of anorexia nervosa. However, these goals typically come into play once the patient's physical condition has been stabilized and nutritional rehabilitation has been initiated. Long-term therapy, support groups, and follow-up care are crucial to prevent relapse and maintain progress.
Choice D rationale:
Providing ongoing follow-up care. Providing ongoing follow-up care is indeed a necessary aspect of treating anorexia nervosa. After the initial stabilization and intensive treatment phase, ongoing monitoring, therapy, and medical follow-up are vital to support the patient's sustained recovery. However, just offering ongoing follow-up care without addressing the immediate medical needs and nutritional rehabilitation would not be sufficient in treating the acute phase of anorexia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
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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