A psychiatric clinical nurse specialist uses cognitive therapy ...

[kodithompson]

A psychiatric clinical nurse specialist uses cognitive therapy techniques with a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy?
 
  a. What are your feelings about not eating the food that you prepare?
  b. You seem to feel much better about yourself when you eat something.
  c. It must be difficult to talk about private matters to someone you just met.
  d. Being thin doesn't seem to solve your problems. You're thin now but still unhappy.

Question 2

A nursing diagnosis for a patient with bulimia nervosa is: Ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting.
 
  The best outcome related to this diagnosis is that within 2 weeks the patient will:
 
  a. appropriately express angry feelings.
  b. verbalize two positive things about self.
  c. verbalize the importance of eating a balanced diet.
  d. identify two alternative methods of coping with loneliness.

[DylanD1323]

Answer to Question 1

ANS: D
The correct response is the only strategy that attempts to question the patient's distorted thinking.

Answer to Question 2

ANS: D
The outcome of identifying alternative coping strategies is most directly related to the diagnosis of Ineffective coping. Verbalizing positive characteristics of self and verbalizing the importance of eating a balanced diet are outcomes that might be used for other nursing diagnoses. Appropriately expressing angry feelings is not measurable.