A nurse is caring for a client with avoidant/restrictive food intake disorder (ARFID) Which assessment finding would be consistent with this diagnosis?

Significant weight loss or failure to achieve expected weight gain.

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors.

Persistent eating of nonnutritive, nonfood substances.

Repeated regurgitation of food.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Significant weight loss or failure to achieve expected weight gain is consistent with the diagnosis of avoidant/restrictive food intake disorder (ARFID) ARFID is characterized by a lack of interest in eating or food, avoidance based on sensory characteristics of food, concern about the aversive consequences of eating, and avoidance of foods due to a previous negative experience. This avoidance can lead to inadequate nutrient intake and, consequently, significant weight loss or the inability to achieve expected weight gain, especially in children.

Choice B rationale:

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are not indicative of avoidant/restrictive food intake disorder (ARFID) This behavior is more characteristic of bulimia nervosa, which involves cycles of binge eating followed by behaviors like vomiting, laxative use, or excessive exercise to compensate for the overeating.

Choice C rationale:

Persistent eating of nonnutritive, nonfood substances is a characteristic of pica disorder, not avoidant/restrictive food intake disorder (ARFID) Pica involves the consumption of substances such as dirt, paint, hair, or cloth, which have no nutritional value.

Choice D rationale:

Repeated regurgitation of food is a characteristic of rumination disorder, not avoidant/restrictive food intake disorder (ARFID) Rumination disorder involves the regurgitation of food that is then either re-chewed, re-swallowed, or spit out, without an associated medical condition.

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Correct Answer is C

Explanation

Choice A rationale:

This choice is inappropriate. In anorexia nervosa, encouraging the client to eat more may not address the underlying psychological and emotional issues related to the disorder. It oversimplifies the complexity of the disorder and could further exacerbate the client's anxiety about weight gain.

Choice B rationale:

This choice is inappropriate. Telling the client to stop restricting food intake oversimplifies the challenges of anorexia nervosa. Recovery involves addressing both the physical and psychological aspects of the disorder, and such a statement may not provide the necessary support and understanding.

Choice C rationale:

This choice is accurate. This statement acknowledges the client's fear of gaining weight while also emphasizing the importance of their health. It demonstrates empathy and understanding while promoting a balanced perspective on the client's concerns.

Choice D rationale:

This choice is inappropriate. Encouraging the client to exercise more as a way to increase appetite overlooks the fact that anorexia nervosa is not solely about appetite suppression. The disorder involves complex psychological factors that cannot be addressed through simple solutions like increased exercise.

A. "You're right, you shouldn't be eating.” B. "Don't worry, your weight is not a concern.” C. "It sounds like you have negative thoughts about your body.” D. "Eating is not important, we should focus on your medication.”

Correct Answer is C

Explanation

Choice A rationale:

The response "You're right, you shouldn't be eating." reinforces the client's negative and harmful belief about not deserving to eat. This response is not therapeutic and can worsen the client's condition.

Choice B rationale:

The response "Don't worry, your weight is not a concern." dismisses the client's feelings and doesn't address the underlying distorted thoughts about their body and food. It's important to acknowledge their emotions rather than trivialize them.

Choice C rationale:

The response "It sounds like you have negative thoughts about your body." shows empathy and reflective listening. It opens the door for further discussion about the client's feelings and allows the nurse to explore their thought patterns.

Choice D rationale:

The response "Eating is not important, we should focus on your medication." minimizes the significance of the client's eating disorder and focuses solely on medication, disregarding the psychological and nutritional aspects of treatment.

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A nurse is caring for a client with avoidant/restrictive food intake disorder (ARFID) Which assessment finding would be consistent with this diagnosis?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with anorexia nervosa. Which statement by the nurse is most appropriate?

Correct Answer is C

Explanation

A client with an eating disorder says, "I don't deserve to eat because I'm overweight." What response by the nurse is appropriate?

Correct Answer is C

Explanation

A client with an eating disorder avoids meals and snacks. What nursing intervention should the nurse implement to address this behavior?

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

(Question from external source) Which of the following is a treatment approach for anorexia nervosa?

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 implementing a care plan for a patient with an eating disorder. The patient says, "I don't want to eat. I'm afraid I'll gain weight." Which response by the nurse is appropriate?

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

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?

(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.