The nurse is interviewing Jessica, 18 years old, about her eating ...

[theo]

The nurse is interviewing Jessica, 18 years old, about her eating behaviors. Jessica's parents have brought her to treatment because her mother suspects that Jessica has been binge eating and vomiting.
 
  The nurse asks Jessica if she ever feels that she cannot control her eating. Jessica is silent for a moment, and her mother states, I know she can't control it; she ate an entire cake last night Which of the following comments by the nurse is best?
  A) I see. Jessica, why did you feel like you have to eat so much?
  B) Do you often have to answer for your daughter?
  C) Jessica, is what your mother said true?
  D) I see. Jessica, do you ever feel as though you cannot control your eating?

Question 2

During a therapy session, a client with anorexia tells the nurse, I measured my thighs today. They are a quarter-inch larger than they were yesterday. I feel like a pig; I'm so fat.
 
  Which of the following potential responses by the nurse is most therapeutic?
  A) I don't think you are fat.
  B) Has something occurred that caused you to measure your thighs?
  C) You are exactly the right weight for your height.
  D) You have always been very focused on your thighs. Is that the part of your body you like least?

[SomethingSomething]

Answer to Question 1

Ans: D
Feedback:
Parents in enmeshed families frequently try to protect their children by speaking for them, as in She feels happy most of the time. Members are not accustomed to identifying and expressing their own feelings and need frequent prompting from the nurse. The nurse encourages members to speak for themselves and not for one another.

Answer to Question 2

Ans: B
Feedback:
The nurse helps the client recognize the influence of maladaptive thoughts and identify situations and events that cause concern about physical appearance and weight. In discussing these situations, the nurse and client can begin to identify anxiety-provoking events and develop strategies for managing such situations without resorting to self-damaging behaviors.

[theo]

TYSM

[Alyson.hiatt@yahoo.com]

Excellent