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

"You should just focus on physical recovery for now.”

"You need to follow the meal plan exactly as it is.”

"I understand that distorted body image can be challenging.”

"You should isolate yourself from group therapy sessions.”

Answer and Explanation

The Correct Answer is C

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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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. "You need to eat to maintain your health.” B. "You're not overweight. You don't need to worry about gaining weight.” C. "I can understand your fear, but not eating can be harmful to your body.” D. "You should focus on something other than your weight.”

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.

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

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

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?

Correct Answer is C

Explanation

A nurse is caring for a patient with anorexia nervosa. Which treatment approach would be the priority for this patient?

A client with an eating disorder has a distorted body image and irrational beliefs. What therapeutic approach should the nurse use to address this issue?

A nurse is conducting a comprehensive assessment of a patient with an eating disorder. Which aspects should the nurse assess to provide holistic care?

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

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

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 assessing a patient with an eating disorder. Which of the following gastrointestinal symptoms would the nurse expect to find?

(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.