Author Question: A client with anorexia nervosa engages in manipulative behavior. She tells the nurse, I can't get ... (Read 35 times)

Brittanyd9008 · **on:** Jul 19, 2018

A client with anorexia nervosa engages in manipulative behavior. She tells the nurse, I can't get weighed this morning, because I drank a glass of juice a few minutes before breakfast. The best approach by the nurse would be:

1. I'm pleased that you took in some calories.
2. We can get around this, if you'll eat a doughnut, too.
3. The rule is weigh before eating'; now we have to put it off until tomorrow.
4. This is weight day. Please step on the scale.

Question 2

A priority measure to teach a client who purges is:

1. That purging endangers one's health
2. That individuals who are overweight can be well-adjusted
3. To seek out a trusted person when feeling the need to purge
4. To use laxatives rather than vomiting as a way to eliminate food

bigsis44 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 4
This response is calm, matter-of-fact, and firm. The nurse is not permitting the client to be manip-ulative, nor is she setting up a situation in which a power struggle is likely to arise. Option 1 praises the client for her behavior. Option 2 is manipulative on the part of the nurse. Option 3 suggests the client will not be weighed according to schedule.

Answer to Question 2

ANS: 3
Resisting the urge to purge can be facilitated by reporting it to a trusted person and talking about the feelings that gave rise to the urge. Once feelings have been identified, the client can begin to identify and employ healthier alternative strategies. Option 1 is not the priority measure. Options 2 and 4 are not therapeutic.