Author Question: A parent of a teenager being treated for anorexia nervosa asks the nurse what, Being an enmeshed ... (Read 106 times)

MGLQZ · **on:** Jul 19, 2018

A parent of a teenager being treated for anorexia nervosa asks the nurse what, Being an enmeshed family means. Which question provides the best response to the question?

a. What do you think that statement means?
b. Who told you your family was enmeshed?
c. Are the members of your family expected to be independent and self-reliant?
d. Does your family place importance on being successful and accepted by others?

Question 2

A patient with severe weight loss as a result of anorexia nervosa has refused meal trays and supplemental feedings for 3 days since being admitted to the hospital and so refeed-ing has been ordered. Which intervention will initiate this treatment?

a. Scheduling a nutrition consult with the hospital dietitian
b. Tube feedings until the patient eats 90 of all meals for 1 day
c. IV infusions beginning immediately and continuing for 48 hours
d. Placing the patient on suicide precautions and one-to-one observation

Danny Ewald · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
An enmeshed family often puts a lot of importance on body image, social acceptance, and achievement. Expecting independence and self-reliance is not compatible with enmeshed family dynamics. The remaining options do not address the parent's question.

Answer to Question 2

ANS: B
The priority is to begin refeeding, a procedure that involves tube feedings that are continued until the patient is voluntarily eating sufficient quantities. Refeeding takes place using foods and fluids via the GI tract, rather than by the parenteral route. Although refeeding is very threatening to the patient, since they have no control over the weight gain that will occur, su-icide precautions are not indicated at this point, but careful assessments will continue. A nu-tritional consult is not useful at this point in the treatment since the patient is not making choices regarding eating.