Author Question: The statement by a nurse caring for a client with an eating disorder that signals a need for ... (Read 39 times)

tingc95 · **on:** Jul 19, 2018

The statement by a nurse caring for a client with an eating disorder that signals a need for
supervision is

a. I am working to encourage the client to be healthier..
b. I understand that the client is terrified of gaining weight..
c. The client's perfectionism and resistance often make me angry..
d. I have had to make sure I do not come across as a parent figure..

Question 2

An appropriate intervention to undertake for a client with bulimia nervosa who binges and purges is
to teach the client

a. not to skip meals or restrict food.
b. to eat a small meal after purging.
c. eat a large breakfast but no lunch and concentrate intake after 4 PM.
d. substitute laxative use once daily to replace induced vomiting.

dmurph1496 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Frustration is common when client personality traits of perfectionism, obsessive thinking, and the
need to control therapy are present. Anger and frustration signal a need for supervision. Options A
and D are appropriate. Option B is empathetic and important to reflect to the client.

Answer to Question 2

A
One goal of health teaching is normalization of eating habits. Food restriction and skipping meals
lead to rebound bingeing. Option B will probably perpetuate the need to induce vomiting. Option C
will lead to late-day bingeing. Option D is highly undesirable.