A nurse conducting group therapy on the eating disorders unit ...

[jilianpiloj]

A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:
 
  a. Maintaining patients' concentration and attention.
  b. Shifting the patients' focus from food to psychotherapy.
  c. Focusing on weight control mechanisms and food preparation.
  d. Processing the heightened anxiety levels associated with eating.

Question 2

While providing health teaching for a patient with binge-purge bulimia, a nurse should emphasize information about:
 
  a. self-monitoring of daily food and fluid intake.
  b. establishing the desired daily weight gain.
  c. recognizing the symptoms of hypokalemia.
  d. self-esteem maintenance.

[abctaiwan]

Answer to Question 1

ANS: D
Eating produces high anxiety for patients with eating disorders. Anxiety levels must be lowered if the patient is to be successful in attaining therapeutic goals. Shifting the patients' focus from food to psychotherapy and focusing on weight control mechanisms and food preparation are not desirable. Maintaining patients' concentration and attention is important, but not the primary purpose of the schedule.

Answer to Question 2

ANS: C
Hypokalemia results from potassium loss associated with vomiting. Physiologic integrity can be maintained if the patient can self-diagnose potassium deficiency and adjust the diet or seek medical assistance. Self-monitoring of daily food and fluid intake is not useful if the patient purges. Daily weight gain may not be desirable for a patient with bulimia nervosa. Self-esteem is an identifiable problem but is of lesser priority than the risk for hypokalemia.