(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.
Monitoring vital signs and weight.
Providing positive reinforcement for eating.
Teaching coping skills and stress management techniques.
Involving the family in the treatment process.
Respecting the patient's beliefs and values.
Correct Answer : B,C,D,E
Choice A rationale:
Monitoring vital signs and weight is important, but it primarily falls under the medical management of the patient's condition rather than within the scope of nursing interventions for promoting psychological well-being in a care plan for eating disorders.
Choice B rationale:
Providing positive reinforcement for eating is appropriate as patients with eating disorders often struggle with food-related anxieties. Positive reinforcement can encourage them to establish healthier eating habits and reduce fear around food.
Choice C rationale:
Teaching coping skills and stress management techniques is essential. Many patients with eating disorders use disordered eating behaviors as coping mechanisms. Providing alternative coping strategies can help them manage stress without resorting to unhealthy behaviors.
Choice D rationale:
Involving the family in the treatment process can be beneficial. Eating disorders can affect not only the individual but also the family dynamics. Educating the family about the disorder, its triggers, and how to provide support can contribute to the patient's overall recovery.
Choice E rationale:
Respecting the patient's beliefs and values is crucial in building trust and rapport. It helps create a patient-centered approach that considers their individual preferences and cultural factors when developing and implementing the care plan.
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Correct Answer is C
Explanation
Choice A rationale:
"I might need to be hospitalized to stabilize my physical condition." Hospitalization is often necessary for individuals with severe eating disorders, such as anorexia nervosa with significant medical complications. Inpatient treatment might be required to stabilize the patient's physical condition, provide proper nutrition, and address any medical complications arising from malnutrition.
Choice B rationale:
"Psychotherapy and medication can help address the psychological aspects of my disorder." Psychotherapy, often including cognitive-behavioral therapy (CBT), and medication can indeed play crucial roles in treating eating disorders. These approaches help address the underlying psychological factors contributing to the disorder and aid in promoting healthier eating behaviors. This statement indicates that the patient understands the comprehensive nature of treatment.
Choice C rationale:
"Relapse prevention strategies are not necessary once I have recovered." This statement is indicative of a misunderstanding about the nature of eating disorders. Relapse prevention strategies are essential to maintain recovery and prevent relapse. Eating disorders have a psychological component, and individuals need to continue practicing healthy behaviors, coping skills, and strategies even after they have made progress in their recovery journey.
Choice D rationale:
"Social support, such as family involvement or peer support, can be helpful in maintaining recovery." Social support is indeed valuable for individuals with eating disorders. Engaging with family, friends, or support groups can contribute to the maintenance of recovery. The statement reflects an accurate understanding of the role of social support in the treatment and recovery process.
Correct Answer is A
Explanation
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.
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