(Select all that apply):. A nurse is planning a care plan for a patient with an eating disorder. Which nursing interventions are appropriate for this patient? Select all that apply.
Monitoring vital signs and weight.
Providing positive reinforcement for eating.
Teaching coping skills and stress management techniques.
Involving the family in the treatment process.
Respecting the patient's beliefs and values.
Correct Answer : B,C,D,E
Choice A rationale:
Monitoring vital signs and weight is important, but it primarily falls under the medical management of the patient's condition rather than within the scope of nursing interventions for promoting psychological well-being in a care plan for eating disorders.
Choice B rationale:
Providing positive reinforcement for eating is appropriate as patients with eating disorders often struggle with food-related anxieties. Positive reinforcement can encourage them to establish healthier eating habits and reduce fear around food.
Choice C rationale:
Teaching coping skills and stress management techniques is essential. Many patients with eating disorders use disordered eating behaviors as coping mechanisms. Providing alternative coping strategies can help them manage stress without resorting to unhealthy behaviors.
Choice D rationale:
Involving the family in the treatment process can be beneficial. Eating disorders can affect not only the individual but also the family dynamics. Educating the family about the disorder, its triggers, and how to provide support can contribute to the patient's overall recovery.
Choice E rationale:
Respecting the patient's beliefs and values is crucial in building trust and rapport. It helps create a patient-centered approach that considers their individual preferences and cultural factors when developing and implementing the care plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
The correct answer is a. Recurrent episodes of binge eating, b. Inappropriate compensatory behaviors to prevent weight gain, c. Normal or slightly above normal body weight, d. Sense of lack of control over eating.
Choice A rationale:
Recurrent episodes of binge eating are a key diagnostic criterion for bulimia nervosa. This involves consuming a large amount of food in a short period while feeling a lack of control over eating.
Choice B rationale:
Inappropriate compensatory behaviors, such as self-induced vomiting, misuse of laxatives, fasting, or excessive exercise, are used to prevent weight gain and are essential for diagnosing bulimia nervosa.
Choice C rationale:
Individuals with bulimia nervosa often maintain a normal or slightly above normal body weight, which can make the disorder less noticeable compared to anorexia nervosa.
Choice D rationale:
A sense of lack of control over eating during binge episodes is a critical feature of bulimia nervosa.
Choice E rationale:
Acknowledgment of the problem is not a diagnostic criterion for bulimia nervosa. Many individuals with bulimia may not recognize or admit they have a problem.
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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