Author Question: The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team ... (Read 94 times)

awywial · **on:** Jul 19, 2018

The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team calls for a family meeting. Which is the appropriate nursing response?

1. Tell me why this family meeting is causing you to be defensive. All clients are required to participate in two family sessions.
2. Eating disorders have been correlated to certain familial patterns; without addressing these, your child's condition will not improve.
3. Family dynamics are not linked to eating disorders. The meeting is to provide your child with family support.
4. Clients diagnosed with anorexia nervosa are part of the family system, and any alteration in family processes needs to be addressed.

Question 2

A potential Olympic figure skater collapses during practice and is hospitalized for severe malnutrition. Anorexia nervosa is diagnosed. Which client statement best reflects insight related to this disorder?

1. Skaters need to be thin to improve their daily performance.
2. All the skaters on the team are following an approved 1200-calorie diet.
3. The exercise of skating reduces my appetite but improves my energy level.
4. I am angry at my mother. I can only get her approval when I win competitions.

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

Answer to Question 1

2
Rationale: The nurse should educate the family on the correlation between certain familial patterns and anorexia nervosa. Families engaging in conflict avoidance and struggling with issues of power and control may contribute to the development of anorexia nervosa.

Answer to Question 2

4
Rationale: The client reflects insight when referring to feelings toward family dynamics that may have influenced the development of the disease. Families who are overprotective and perfectionistic can contribute to the development of anorexia nervosa.