Which initial nursing interventions are appropriate the patient ...

[s.tung]

Which initial nursing interventions are appropriate the patient with anorexia nervosa? Select all that apply.
 
  1. Encouraging the patient to listen to her favorite music.
  2. Talking to the patient about a favorite pastime.
  3. Asking the patient to limit the number of sodas she is drinking.
  4. Helping the patient confront the issue that causes stress about eating.
  5. Leaving the patient alone to think when the patient is feeling overwhelmed.

Question 2

The nurse caring for a patient with binge-eating disorder knows that the health care provider ordered orlistat (Xenical) in conjunction with cognitive-behavioral therapy for which reason?
 
  1. To help reduce dietary fat absorption and, therefore, binge-eating disorder (BED) symptoms
  2. To increase the ability to lose weight and help with disordered thinking
  3. To reduce the depression that is associated with the inability to lose weight
  4. To provide significant weight reduction and provide adequate remission from binging

[macagn]

Answer to Question 1

Answer: 1, 2, 3
Explanation: Interventions that focus on reducing stress, but do not specifically address the problematic eating behaviors, may help initially create a therapeutic nurse-patient relationship. Patients who develop therapeutic relationships are more open to change. Nursing interventions include decreasing exposure to environmental stressors such as caffeine, energy drinks, and other stimulants; helping patients to increase social and familial connectedness through improved communication skills; teaching self-soothing methods; and encouraging the elimination of drugs and/or alcohol which can increase impulsivity.

Answer to Question 2

Answer: 1
Explanation: Research shows that orlistat (Xenical) in combination with cognitive-behavioral therapy (CBT) results in a reduction of binge eating, remission rates, and weight loss. Orlistat (Xenical) reduces dietary fat absorption and, when combined with CBT, significantly reduces BED symptoms and enhances weight loss. Orlistat (Xenical) does not reduce depression or help with disordered thinking.