(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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Ineffective Coping is the most appropriate nursing diagnosis for a client with binge eating disorder who reports feeling guilty and depressed after episodes of binge eating. Binge eating disorder is characterized by recurrent episodes of consuming large amounts of food within a discrete period, accompanied by a sense of loss of control. The guilt and depression reported by the client are emotional responses to these episodes. Ineffective Coping reflects the client's inability to manage and adapt to these negative emotions in a healthy manner. It addresses the psychological distress that often accompanies binge eating behaviors.

Choice B rationale:

Disturbed Body Image is not the most appropriate nursing diagnosis for this client. While individuals with binge eating disorder may experience body dissatisfaction due to weight gain resulting from their binge episodes, the primary focus of this client's distress is on feelings of guilt and depression, which are better captured by the Ineffective Coping diagnosis.

Choice C rationale:

Imbalanced Nutrition: More Than Body Requirements is not the most suitable nursing diagnosis for this client. While binge eating disorder involves excessive food consumption during episodes, the diagnosis of Imbalanced Nutrition is usually reserved for clients who have issues with nutrient intake that lead to alterations in physical health, such as obesity or malnutrition.

Choice D rationale:

Risk for Impaired Skin Integrity related to dental erosion is not the most relevant nursing diagnosis for this client. While binge eating may lead to dental erosion over time due to frequent exposure to stomach acid during episodes, this choice does not address the primary psychological concerns of guilt and depression.

A. Recurrent episodes of binge eating. B. Normal or slightly above normal body weight. C. Lack of interest in eating or food. D. Repeated regurgitation of food.

Correct Answer is C

Explanation

The correct answer is C. Lack of interest in eating or food.

Anorexia nervosa is characterized by a severe restriction of food intake due to an intense fear of gaining weight, a distorted body image, and a lack of interest in eating despite physical hunger. Individuals with anorexia often engage in extreme dieting, excessive exercise, and other behaviors to maintain an abnormally low body weight.

Here’s why the other options are incorrect:

A. Recurrent episodes of binge eating – This is more characteristic of bulimia nervosa or binge-eating disorder, where individuals consume large amounts of food and may compensate through purging or extreme dieting.
B. Normal or slightly above normal body weight – Individuals with anorexia nervosa typically have a low body weight (often significantly underweight due to food restriction), unlike bulimia, where weight may be in the normal or above-normal range.
D. Repeated regurgitation of food – This is characteristic of rumination disorder, a separate condition in which individuals repeatedly bring up swallowed food without nausea or distress.

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(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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with binge eating disorder reports feeling guilty and depressed after episodes of binge eating. Which nursing diagnosis is most appropriate for this client?

Correct Answer is A

Explanation

. Which of the following is a characteristic of anorexia nervosa?

Correct Answer is C

Explanation

A nurse is collaborating with a multidisciplinary team to provide care for a patient with an eating disorder. What is a key responsibility of the nurse in this context?

A nurse is caring for a patient with an eating disorder. Which nursing intervention is appropriate for this patient?

A nurse is caring for a patient with an eating disorder. Which statement indicates effective psychological care?

A nurse is assessing a patient with an eating disorder. The patient states, "I feel so fat and disgusting." Which response by the nurse is appropriate?

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?

A nurse is assessing a client with possible bulimia nervosa. Which findings would support this diagnosis? Select all that apply.

A nurse is assessing a patient with bulimia nervosa. Which of the following cardiovascular symptoms would the nurse expect to find?

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?