(Select all that apply):. A nurse is planning a care plan for a patient with an eating disorder. Which nursing interventions are appropriate for this patient? Select all that apply.

Choice A rationale:

Significant weight loss or failure to achieve expected weight gain is consistent with the diagnosis of avoidant/restrictive food intake disorder (ARFID) ARFID is characterized by a lack of interest in eating or food, avoidance based on sensory characteristics of food, concern about the aversive consequences of eating, and avoidance of foods due to a previous negative experience. This avoidance can lead to inadequate nutrient intake and, consequently, significant weight loss or the inability to achieve expected weight gain, especially in children.

Choice B rationale:

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are not indicative of avoidant/restrictive food intake disorder (ARFID) This behavior is more characteristic of bulimia nervosa, which involves cycles of binge eating followed by behaviors like vomiting, laxative use, or excessive exercise to compensate for the overeating.

Choice C rationale:

Persistent eating of nonnutritive, nonfood substances is a characteristic of pica disorder, not avoidant/restrictive food intake disorder (ARFID) Pica involves the consumption of substances such as dirt, paint, hair, or cloth, which have no nutritional value.

Choice D rationale:

Repeated regurgitation of food is a characteristic of rumination disorder, not avoidant/restrictive food intake disorder (ARFID) Rumination disorder involves the regurgitation of food that is then either re-chewed, re-swallowed, or spit out, without an associated medical condition.

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.