The nurse working with a client whose diagnosis is bulimia asks ...

[cookcarl]

The nurse working with a client whose diagnosis is bulimia asks the client to recall a time in her life when eating was a positive experience and she enjoyed small amounts of food without purg-ing. The purpose of this intervention is to:
 
  1. Gain additional information about the client's bulimic condition
  2. Emphasize that the client is capable of engaging in eating without purging
  3. Incorporate specific foods into the meal plan to reflect pleasant memories
  4. Assist the client to become more compliant with the treatment plan

Question 2

The family of a client mentions to the nurse, The family therapist talked to us about enmesh-ment. We're not sure we understood what it meant. The nurse should base a response on knowledge that an enmeshed family is a unit in which:
 
  1. Individuality is encouraged
  2. Boundaries are poorly defined
  3. Conflict is effectively resolved
  4. Social acceptance is deemed unimportant

[Joc]

Answer to Question 1

ANS: 2
This intervention emphasizes the fact that eating is possible without purging. This intervention fosters the development of hope. 1. This is not the purpose of the intervention, although it may be an added benefit. 3. Providing special foods is not an effective means of promoting improved eating habits. It may also increase secondary gains. 4. This intervention will not promote treat-ment plan compliance.

Answer to Question 2

ANS: 2
Enmeshed families have poor boundaries, overinvolvement among members, and a pattern of re-lating in which individuality is discouraged and conformity expected. 1. Individuality is dis-couraged in enmeshed families. 3. There is little healthy conflict resolution in enmeshed families. 4. An enmeshed family places considerable importance on appearances and public acceptance.