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?

Choice A rationale:

Monitoring vital signs and weight may be relevant in the assessment of a patient with an eating disorder, especially if their condition has led to physical complications. However, it is not the primary nursing responsibility in this context. The emotional and psychological aspects of care are of higher priority.

Choice B rationale:

Providing emotional support and promoting self-esteem is crucial in the assessment of a patient with an eating disorder. Patients with eating disorders often struggle with body image issues and low self-esteem. Offering emotional support can help build a therapeutic relationship and create a safe environment for the patient to express their feelings and concerns.

Choice C rationale:

Assessing nutritional needs and developing a meal plan is indeed important in managing eating disorders. However, in the context of assessment, it is a secondary responsibility that comes after addressing the patient's emotional well-being. Establishing trust and understanding the psychological factors at play are fundamental before delving into nutritional planning.

Choice D rationale:

Respecting the patient's beliefs and values is a fundamental aspect of nursing care across all contexts, including eating disorders. While respecting beliefs and values is essential, it is not the primary nursing responsibility specifically in the assessment phase of a patient with an eating disorder.

The correct answer is choice D: Both physical and psychological aspects.

Choice A rationale:

Focusing solely on the patient’s medical status would provide a limited view of the patient’s overall health. Eating disorders are complex and involve more than just medical issues; they also include psychological, social, and sometimes spiritual dimensions.

Choice B rationale:

While nutritional needs are a critical component of care for patients with eating disorders, they are not the only aspect that should be assessed. Holistic care requires attention to all facets of a person’s well-being, including their mental and social health.

Choice C rationale:

Mental status is indeed important in the assessment of a patient with an eating disorder, but it should not be the sole focus. A comprehensive approach that includes both mental and physical health is necessary for holistic care.

Choice D rationale:

This is the correct choice because holistic care involves assessing and addressing both physical and psychological aspects of a patient’s health. Eating disorders affect a person’s body and mind, and both areas must be cared for in a comprehensive assessment.

Choice E rationale:

Social interactions play a role in the well-being of a patient with an eating disorder, but assessing only this aspect would miss other critical areas such as medical, nutritional, and mental health needs. Holistic care encompasses all these areas to provide complete care.