Which nursing intervention has highest priority for a patient ...

[c0205847]

Which nursing intervention has highest priority for a patient with bulimia nervosa?
 
  a. Assist the patient to identify triggers to binge eating.
  b. Provide remedial consequences for weight loss.
  c. Assess for signs of impulsive eating.
  d. Explore needs for health teaching.

Question 2

A patient states, I have been trying to lose weight. I am not hungry at breakfast, so I wait until lunch to eat. I have a small lunch and then use most of my calorie allotment for dinner. Lately, I have noticed that my mood has been off.
 
  I seem to be more anxious, and my mood is lower.. Which response would be most appropriate? a. As long as you are getting the nutrients you need, when you eat should not be affecting your mood..
  b. Perhaps you should divide your calories evenly between lunch and dinner. If your blood sugar is low, it could be responsible for feeling nervous..
  c. Eating breakfast is important. It improves mood, energy, and feelings of calm. Eating some of your calories in the morning might help your mood..
  d. You might want to talk with your doctor about using of kava kava for your depression..

[ErinKing]

Answer to Question 1

A
For most patients with bulimia nervosa, certain situations trigger the urge to binge. Purging then follows bingeing. Often the triggers are anxiety-producing situations. Identification of triggers makes it possible to break the binge/purge cycle. Because binge eating and purging directly affect physical status, the need to promote physical safety assumes highest priority.

Answer to Question 2

C
Research indicates that regularly eating breakfast improves energy, mood, memory, and feelings of calmness, so when one consumes nutrients may be important. No evidence exists to support distributing calories between lunch and dinner or that kava kava would help depression (although it might relieve anxiety).

[c0205847]

Excellent

[bimper21]

TYSM