A nurse is educating a patient with an eating disorder about the treatment options. Which statement made by the patient indicates a need for further teaching?
"I might need to be hospitalized to stabilize my physical condition.”
"Psychotherapy and medication can help address the psychological aspects of my disorder.”
"Relapse prevention strategies are not necessary once I have recovered.”
"Social support, such as family involvement or peer support, can be helpful in maintaining recovery.”
The Correct Answer is C
Choice A rationale:
"I might need to be hospitalized to stabilize my physical condition." Hospitalization is often necessary for individuals with severe eating disorders, such as anorexia nervosa with significant medical complications. Inpatient treatment might be required to stabilize the patient's physical condition, provide proper nutrition, and address any medical complications arising from malnutrition.
Choice B rationale:
"Psychotherapy and medication can help address the psychological aspects of my disorder." Psychotherapy, often including cognitive-behavioral therapy (CBT), and medication can indeed play crucial roles in treating eating disorders. These approaches help address the underlying psychological factors contributing to the disorder and aid in promoting healthier eating behaviors. This statement indicates that the patient understands the comprehensive nature of treatment.
Choice C rationale:
"Relapse prevention strategies are not necessary once I have recovered." This statement is indicative of a misunderstanding about the nature of eating disorders. Relapse prevention strategies are essential to maintain recovery and prevent relapse. Eating disorders have a psychological component, and individuals need to continue practicing healthy behaviors, coping skills, and strategies even after they have made progress in their recovery journey.
Choice D rationale:
"Social support, such as family involvement or peer support, can be helpful in maintaining recovery." Social support is indeed valuable for individuals with eating disorders. Engaging with family, friends, or support groups can contribute to the maintenance of recovery. The statement reflects an accurate understanding of the role of social support in the treatment and recovery process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["B","C","D","E"]
Explanation
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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