(Select all that apply):. A nurse is implementing nursing interventions for a patient with an eating disorder. Which interventions are appropriate for this patient's condition? (Choose three.)
Administering pain management medications.
Providing nutritional education.
Assisting with wound care.
Recommending meditation techniques.
Monitoring vital signs.
Correct Answer : B,D,E
The correct answer is choice B, D, and E.
Choice A rationale:
Administering pain management medications is not typically a direct intervention for eating disorders unless the patient has a comorbid condition that requires pain management. Eating disorders primarily require nutritional, psychological, and physiological interventions.
Choice B rationale:
Providing nutritional education is a fundamental intervention for patients with eating disorders. It helps them understand the importance of balanced nutrition and addresses any misconceptions about food and diet that may contribute to their condition.
Choice C rationale:
Assisting with wound care may be necessary if the patient has self-inflicted wounds or other injuries, but it is not a standard nursing intervention for eating disorders unless there are specific complications that require such care.
Choice D rationale:
Recommending meditation techniques can be beneficial for patients with eating disorders as it can help reduce anxiety, improve stress management, and promote a more positive body image and self-esteem.
Choice E rationale:
Monitoring vital signs is crucial for patients with eating disorders due to the potential for severe physiological complications such as electrolyte imbalances, cardiac issues, and other vital sign instabilities that can arise from malnutrition and the behaviors associated with eating disorders.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Increased levels of cortisol and thyroid hormones. While stress-induced changes in cortisol levels can be seen in individuals with eating disorders, they are not the primary pathophysiological changes associated with these disorders. Cortisol plays a role in the body's response to stress and can contribute to weight gain, but altered levels of other hormones have a more direct impact on eating behaviors in individuals with eating disorders.
Choice B rationale:
Decreased levels of growth hormone and insulin. Growth hormone and insulin do play a role in metabolism and growth, but their levels are not commonly altered in eating disorders in the same way that hormones like leptin and ghrelin are. Altered levels of growth hormone and insulin can lead to metabolic disturbances, but these are not the hallmark changes seen in individuals with eating disorders.
Choice C rationale:
Altered levels of leptin and ghrelin. This is the correct choice. Leptin and ghrelin are two hormones that play a significant role in regulating hunger and satiety. Leptin, produced by adipose tissue, signals to the brain when energy stores are sufficient, thereby reducing appetite. Ghrelin, produced by the stomach, stimulates appetite and promotes food intake. In individuals with eating disorders, these hormones can become dysregulated, leading to disrupted hunger and fullness cues, and contributing to the development and maintenance of the disorder.
Choice D rationale:
Elevated levels of sex hormones and growth hormone. Elevated levels of sex hormones are not a primary pathophysiological change associated with eating disorders. Growth hormone, while important for growth and metabolism, is not a central player in the hormonal changes that drive eating disorder behaviors. Leptin and ghrelin are more directly involved in the dysregulation of eating behaviors seen in these disorders.
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.
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