(Question from external source) Which of the following is a treatment approach for 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:
Stabilizing the patient's physical condition. This is the correct choice. In the treatment of anorexia nervosa, it is crucial to address the medical complications that arise from severe malnutrition and weight loss. Refeeding and restoring the patient's nutritional status are top priorities to prevent further health deterioration. This often requires a structured refeeding plan and medical monitoring to ensure gradual weight gain and avoid refeeding syndrome, a potentially life-threatening condition that can occur when nutrients are reintroduced too rapidly.
Choice B rationale:
Addressing the psychological aspects of the disorder. Addressing the psychological aspects of anorexia nervosa is indeed an essential component of treatment, but it usually comes after stabilizing the patient's physical condition. The distorted body image, fear of weight gain, and other psychological factors need to be addressed in therapy and counseling during the recovery process. However, attempting to address these psychological aspects before stabilizing the patient's physical health can be challenging and less effective.
Choice C rationale:
Preventing relapse and maintaining recovery. Preventing relapse and maintaining recovery are important treatment goals in the long-term management of anorexia nervosa. However, these goals typically come into play once the patient's physical condition has been stabilized and nutritional rehabilitation has been initiated. Long-term therapy, support groups, and follow-up care are crucial to prevent relapse and maintain progress.
Choice D rationale:
Providing ongoing follow-up care. Providing ongoing follow-up care is indeed a necessary aspect of treating anorexia nervosa. After the initial stabilization and intensive treatment phase, ongoing monitoring, therapy, and medical follow-up are vital to support the patient's sustained recovery. However, just offering ongoing follow-up care without addressing the immediate medical needs and nutritional rehabilitation would not be sufficient in treating the acute phase of anorexia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is C
Explanation
Choice A rationale:
The response "You're right, you shouldn't be eating." reinforces the client's negative and harmful belief about not deserving to eat. This response is not therapeutic and can worsen the client's condition.
Choice B rationale:
The response "Don't worry, your weight is not a concern." dismisses the client's feelings and doesn't address the underlying distorted thoughts about their body and food. It's important to acknowledge their emotions rather than trivialize them.
Choice C rationale:
The response "It sounds like you have negative thoughts about your body." shows empathy and reflective listening. It opens the door for further discussion about the client's feelings and allows the nurse to explore their thought patterns.
Choice D rationale:
The response "Eating is not important, we should focus on your medication." minimizes the significance of the client's eating disorder and focuses solely on medication, disregarding the psychological and nutritional aspects of treatment.
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