A patient diagnosed with anorexia nervosa is hospitalized for ...

[segrsyd]

A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? Select all that apply.
 
  a. Flexible mealtimes
  b. Unscheduled weight checks
  c. Adherence to a selected menu
  d. Observation during and after meals
  e. Monitoring during bathroom trips
  f. Privileges correlated with emotional expression

Question 2

When a nurse finds a patient with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, the nurse should state:
 
  a. You and I will have to sit down and discuss this problem.
  b. It bothers me to see you exercising. You'll lose more weight.
  c. Let's discuss the relationship between exercise and weight loss and how that affects your body.
  d. According to our agreement, no exercising is permitted until you have gained a specific amount of weight.

[sailorcrescent]

Answer to Question 1

ANS: C, D, E
Priority milieu interventions support the restoration of weight and a normalization of eating patterns. These goals require close supervision of the patient's eating habits and the prevention of exercise, purging, and other activities. Menus are strictly adhered to. Patients are observed during and after meals to prevent them from throwing away food or purging. All trips to the bathroom are monitored. Mealtimes are structured, not flexible. Weighing is performed on a regular schedule. Privileges are correlated with weight gain and treatment plan compliance.

Answer to Question 2

ANS: D
A matter-of-fact statement that the nurse's perceptions are different helps avoid a power struggle. Treatment plans have specific goals for weight restoration. Exercise is limited to promote weight gain. Patients must be held accountable for required behaviors.

[segrsyd]

Wow, this really help

[nyrave]

TYSM