Author Question: A nursing care plan for a patient with anorexia nervosa includes the intervention monitor for ... (Read 114 times)

123654777 · **on:** Jul 19, 2018

A nursing care plan for a patient with anorexia nervosa includes the intervention monitor for complications of refeeding. Which system should a nurse closely monitor for dysfunction?

a. Renal
b. Endocrine
c. Central nervous
d. Cardiovascular

Question 2

What behavior by a nurse caring for a patient with an eating disorder indicates the nurse needs supervision?

a. The nurse's comments are nonjudgmental.
b. The nurse uses an authoritarian manner when interacting with the patient.
c. The nurse teaches the patient to recognize signs of increasing anxiety and ways to intervene.
d. The nurse refers the patient to a self-help group for individuals with eating disorders.

nickk12214 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Refeeding resulting in a too-rapid weight gain can overwhelm the heart, resulting in cardiovascular collapse. Focused assessment becomes a necessity to ensure patient physiologic integrity. The other body systems are not initially involved in the refeeding syndrome.

Answer to Question 2

ANS: B
In the effort to motivate the patient and take advantage of the decision to seek help and be healthier, the nurse must take care not to cross the line toward authoritarianism and assume the role of a parent. The helpful nurse uses a problem-solving approach and focuses on the patient's feelings of shame and low self-esteem. Referral to a self-help group is an appropriate intervention.