The nurse on an inpatient psychiatric unit is developing the plan ...

[haleyc112]

The nurse on an inpatient psychiatric unit is developing the plan of care for a 17-year-old girl admitted with anorexia nervosa.
 
  The client's weight is 40 below normal. She engages in many rituals related to eating, asks to be weighed several times per day, and complains that her access to the bathroom is limited. The nurse develops a contract with her. The purpose of the contract is to do which of the following?
  A) Provide the client with a feeling of responsibility and control over her behavior
  B) Provide the therapist with a strategy for client compliance
  C) Allow the client a tool by which to negotiate behavior
  D) Provide the nurse with a tool for evaluating the plan of care

Question 2

A 24-year-old woman is in treatment for anorexia nervosa. The therapist, using solution-focused brief therapy, should pose which of the following questions to the client as a basis for designing interventions?
 
  A) What do you think causes eating disorders?
  B) When do you manage your eating behaviors successfully?
  C) Do you know what ultimately happens to people who can't manage their eating disorder?
  D) What do you enjoy that is unrelated to your weight or body image?

[234sdffa]

Answer to Question 1

Ans: A
Feedback:
A contract may be useful in eliminating power struggles with the client. Even though clients may rebel against contract terms, it reassures them to know that consistent limits are being maintained and that they can trust the staff to help maintain control, and ultimately it enables the client to feel more in control.

Answer to Question 2

Ans: B
Feedback:
People with eating disorders tend to have perfectionistic personalities and to think in all-or-nothing terms. The client defines rigid appropriate behaviors for herself in terms of walking on a tightrope, with the need for constant vigilance to keep from falling off. The client must learn balance and moderation in thinking and behavior. The nurse reassures the client that life is more like walking in a big meadow and that she can move safely in many directions.

[haleyc112]

Thank you

[234sdffa]

No problemo