(Question from external source) What is the first priority in the treatment of anorexia nervosa?
Stabilizing the patient's physical condition.
Addressing the psychological aspects of the disorder.
Preventing relapse and maintaining recovery.
Providing ongoing follow-up care.
The Correct Answer is A
Choice A rationale:
In the treatment of anorexia nervosa, stabilizing the patient's physical condition takes precedence as the first priority. Individuals with anorexia often experience severe weight loss, malnutrition, electrolyte imbalances, and other medical complications that can be life-threatening. Therefore, the initial focus is on restoring the patient's health and preventing any immediate physical harm.
Choice B rationale:
While addressing the psychological aspects of the disorder is crucial, it comes after stabilizing the patient's physical condition. Psychological interventions, therapy, and counseling are essential components of treatment, but they can be more effective once the individual's body is in a more stable and nourished state.
Choice C rationale:
Preventing relapse and maintaining recovery is an important long-term goal in treating anorexia nervosa, but it is not the first priority. After stabilizing the patient's physical health, efforts are directed toward helping the individual develop coping strategies, address distorted body image, and establish healthier eating patterns to prevent relapse in the future.
Choice D rationale:
Providing ongoing follow-up care is important throughout the recovery process, but it is not the primary focus in the initial treatment of anorexia nervosa. Once the patient's physical condition is stabilized, follow-up care becomes valuable for monitoring progress, adjusting treatment strategies, and providing continued support.
Questions
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Correct Answer is C
Explanation
Choice A rationale:
Ignoring the client's beliefs to avoid escalating distress is not a therapeutic approach. Addressing cognitive distortions and irrational beliefs is crucial in helping the client reframe their thoughts and promote healthier behaviors.
Choice B rationale:
Encouraging the client to engage in self-isolation is counterproductive. Isolation can worsen the client's condition and hinder their recovery.
Choice C rationale:
Addressing cognitive distortions and irrational beliefs is the appropriate therapeutic approach. This involves working with the client to identify and challenge negative thought patterns, helping them develop a more realistic perception of their body image and self-worth.
Choice D rationale:
Avoiding discussing body image to prevent embarrassment is not effective. Open and sensitive discussions about body image are important in the therapeutic process to help the client gain insight into their feelings and beliefs.
Correct Answer is B
Explanation
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.
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