A patient with anorexia nervosa in outpatient treatment has begun ...

[Garrulous]

A patient with anorexia nervosa in outpatient treatment has begun refeeding. Between the first and second appointment, the patient gained 8 pounds. The nurse should:
 
  a. praise the weight gain.
  b. assess lung sounds and extremities.
  c. suggest implementation of an exercise program.
  d. establish a higher target for weight gain for the next week.

Question 2

How should the nurse respond if a patient says, Please don't share information about me with the other people?
 
  a. I cannot tell anyone about you. We can help each other by keeping it between us.
  b. I won't share information with your family or friends without your permission, but I will share information with other staff.
  c. It depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to other staff.
  d. Therapeutic relationships are between the nurse and the patient. It's up to you to tell others what you want them to know.

[brittanywood]

Answer to Question 1

B
Weight gain of more than 2 to 5 pounds weekly may overwhelm the heart's capacity to pump, leading to cardiac failure. The nurse must assess for signs of pulmonary edema and congestive heart failure. The other options are undesirable because they increase the risk for cardiac complications.

Answer to Question 2

B
A patient has the right to know with whom the nurse will share information and that confidentiality will be protected. Although the relationship is primarily between the nurse and patient, other staff needs to know pertinent data. The relationship must be patient centered and have clear boundaries.

[Garrulous]

TYSM

[phuda]

Gracias!