A client with an eating disorder that has resulted in weight loss ...

[mrsjacobs44]

A client with an eating disorder that has resulted in weight loss to a point 15 below normal weight tells the nurse, I don't need to be hospitalized.
 
  I can control myself. The nurse continues to prepare the client for hospitalization because the vicious cycle of eating disorder behavior is fueled by:
  1. Feelings of power and control resulting from weight loss
  2. Dysfunctional family dynamics
  3. Faulty use of the defense mechanism projection
  4. Lack of superego constraints on behavior

Question 2

The nursing approach that will minimize power struggles between the client with an eating dis-order and the nurse is best characterized as:
 
  1. Authoritarian and autocratic
  2. Laid-back and flexible
  3. Rigid and unyielding
  4. Compassionate and firm

[ms_sulzle]

Answer to Question 1

ANS: 1
The cycle of eating disorders shown in the accompanying text shows the issue of power and con-trol as being paramount in several phases of the cycle. 2. Family dynamics are not as important an issue, but are rather one of the predisposing etiologic factors. 3. The cycle does not mention faulty use of projection. 4. Lack of superego constraints are not mentioned in the cycle.

Answer to Question 2

ANS: 4
The client with an eating disorder quickly turns the relationship with the nurse into a series of power struggles unless the nurse is perceived as caring and compassionate yet firm enough to be able to maintain the components of the treatment plan even under pressure from the client. Op-tions 1 and 3: These approaches are an open invitation to power struggles. 2. The client will en-gage in testing and power struggles if she thinks the nurse can be manipulated.