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.”
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The main goal of treatment for eating disorders is to correct nutritional deficiencies and address medical complications. Many individuals with eating disorders suffer from severe malnutrition due to inadequate food intake, and this can lead to a range of medical issues such as electrolyte imbalances, cardiac problems, and organ dysfunction. Prioritizing the correction of these physical health issues is essential to ensure the patient's immediate well-being and prevent further deterioration.
Choice B rationale:
While restoring normal eating patterns is an important aspect of treating eating disorders, it is not the main goal. Normalizing eating habits and reestablishing a healthy relationship with food are crucial steps in the recovery process, but these efforts often come after addressing the immediate medical concerns.
Choice C rationale:
Addressing underlying psychological issues is an integral part of eating disorder treatment, but it is not the main goal as specified in the question. Psychological issues like distorted body image, low self-esteem, and anxiety play a significant role in perpetuating eating disorders. Therapeutic interventions and counseling are employed to tackle these underlying issues, but they are typically part of a comprehensive treatment plan that includes medical stabilization.
Choice D rationale:
Preventing relapse is an important long-term goal in eating disorder treatment, but it is not the primary focus when considering the immediate and acute phase of treatment. Relapse prevention strategies become more prominent as patients progress in their recovery journey and work towards maintaining their newfound health and well-being.
Correct Answer is C
Explanation
Choice A rationale:
Gastric emptying. Gastric emptying refers to the process by which the stomach contents are emptied into the small intestine. While it can be affected by various factors, such as the type of food consumed, it's not a typical gastrointestinal symptom associated with eating disorders. Eating disorders often involve disturbances in eating behaviors, body image, and psychological aspects rather than the mechanical process of gastric emptying.
Choice B rationale:
Constipation and diarrhea. Constipation and diarrhea can be associated with various gastrointestinal conditions, but they are not the hallmark symptoms of eating disorders. In some cases, individuals with anorexia nervosa might experience constipation due to low food intake, but this is not a defining feature of eating disorders as a whole.
Choice C rationale:
Abdominal pain and bloating. Abdominal pain and bloating are common gastrointestinal symptoms in individuals with eating disorders, particularly those who engage in binge eating or consume large amounts of food in a short period. The discomfort from overeating or consuming excessive amounts of food can lead to abdominal pain and bloating. Additionally, purging behaviors, such as self-induced vomiting, can also cause irritation to the stomach lining and result in abdominal pain.
Choice D rationale:
Nausea and vomiting. Nausea and vomiting are indeed common symptoms in individuals with eating disorders, especially those with bulimia nervosa. The act of binge eating followed by purging through vomiting is a key characteristic of this disorder. However, the question is asking about gastrointestinal symptoms typically associated with eating disorders in general, and not all individuals with eating disorders engage in purging behaviors.
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