(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:
"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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