A client with anorexia nervosa has refused meal trays and ...

[Beheh]

A client with anorexia nervosa has refused meal trays and supplemental feedings for 3 days fol-lowing admission to the general hospital. The nurse can anticipate that intervention will include:
 
  1. IV infusions beginning immediately and continuing for 48 hours after client be-gins eating
  2. Tube feedings until the client eats 90 of all meals for 1 day
  3. Placing the client on suicide precautions and one-to-one observation
  4. Limiting peer group visitors for 2 weeks

Question 2

A client who was treated for anorexia nervosa is seen by the therapist for a follow-up visit 1 month after discharge from the hospital.
 
  Which statement indicates that the client has met the goal Demonstrate improvement in body image with more realistic view of body shape and size?
  1. When I go shopping, I always select clothes that are several sizes too large for me.
  2. My boyfriend says I really look good now that I'm out of the hospital.
  3. I had my class picture taken, and I think it looks really good.
  4. My mother bought me a whole new wardrobe since I've been home.

[Alyson.hiatt@yahoo.com]

Answer to Question 1

ANS: 2
The priority is to begin refeeding, a procedure that is very threatening to the client, since she will have no control over the weight gain that will occur. Refeeding takes place using foods and flu-ids via the GI tract, rather than by the parenteral route (option 1). 3. Suicide precautions are not indicated at this point, but careful assessments will continue. 4. Visitor restriction is not as com-monly used in general hospital units as it might be on a unit accustomed to behavioral interven-tions.

Answer to Question 2

ANS: 3
Stating satisfaction with a photo of her current appearance indicates a realistic view of body shape and size. Option 1 indicates she still views her body unrealistically. Option 2 expresses her boyfriend's opinion, not her own. Option 4 does not reveal her opinion of her body.

[Beheh]

TYSM

[Animal_Goddess]

Excellent