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?

Choice A rationale:

Monitoring vital signs and weight. While monitoring vital signs and weight is an essential aspect of patient care, it primarily focuses on the physical health of the patient. In the case of an eating disorder, the underlying psychological and emotional issues also need attention, which is not addressed solely by monitoring vital signs and weight. The patient's emotional well-being and coping strategies are equally important in promoting overall recovery.

Choice B rationale:

Providing positive reinforcement for eating. Positive reinforcement can be helpful in encouraging desired behaviors; however, focusing solely on positive reinforcement for eating might oversimplify the complexities of treating an eating disorder. Eating disorders are often rooted in psychological factors, and addressing the underlying causes and emotions is crucial. Providing positive reinforcement might not address the emotional challenges the patient is facing, and a more comprehensive approach is needed.

Choice C rationale:

Teaching coping skills and stress management techniques. This is the correct choice. Eating disorders are often connected to emotional distress, poor body image, and stress. Teaching coping skills and stress management techniques empowers the patient to develop healthier ways of dealing with emotions and triggers that may contribute to their eating disorder. By addressing the emotional aspect, the patient is better equipped to manage their disorder and work towards recovery.

Choice D rationale:

Involving the family in the treatment process. Involving the family in the treatment process can be beneficial, as family support is important for recovery. However, it's not the most appropriate intervention on its own. Eating disorders are complex and individualized, and addressing the patient's personal coping mechanisms and emotional well-being should be the primary focus. Family involvement can be part of a comprehensive treatment plan, but it should not replace teaching the patient coping skills and stress management techniques.

Choice A rationale:

This response oversimplifies the issue and places the blame on the patient's behavior. It may contribute to feelings of guilt and shame, hindering open communication about their struggles.

Choice B rationale:

While the intention behind this response is positive, it reinforces the patient's focus on appearance. It's important to shift the focus from external appearance to overall health and well-being.

Choice C rationale:

This response is empathetic and acknowledges the common struggle that individuals with eating disorders face. It validates the patient's feelings while also indicating that they are not alone in their experiences.

Choice D rationale:

This response dismisses the patient's concerns and implies that their feelings are insignificant. It's essential to validate and address the patient's feelings rather than deflecting their concerns.