Which of the following assessment findings would indicate that a ...

[shenderson6]

Which of the following assessment findings would indicate that a client being treated for anorexia nervosa has succeeded in her recovery?
 
  1. The client's current weight is 75 of normal after 2 years of treatment.
   2. The client states that her menstrual cycle is regular and she is learning to prepare meals.
   3. The client is observed telling her mother that she will eat dinner if her mother buys her new jeans.
   4. The client is observed wearing wrinkled clothes, listening to a portable music device, and staring out the window.

Question 2

A client tells the nurse that the thought of eating makes her anxious and nervous, and she just avoids it altogether. The plan of care for this client should include which of the following?
 
  1. Instruction on nutrition
   2. Interventions to address anxiety and feelings of being in control
   3. Instruction on the role of nutrition with normal menstruation
   4. Importance of nutrition for vital signs and muscle tone

[Hikerman221]

Answer to Question 1

2. The client states that her menstrual cycle is regular and she is learning to prepare meals.

Rationale:
Evidence that the care provided to a client with anorexia nervosa has been successful is that her menstrual cycle is regular and she is learning to prepare meals. The client whose weight is 75 of normal would need additional treatment. The client who tells her mother that she will eat if she gets new jeans is demonstrating manipulative behavior and is evidence that treatment has not been successful. The client who is wearing wrinkled clothes and staring out the window is not demonstrating positive self-care behaviors and would benefit from additional intervention.

Answer to Question 2

2. Interventions to address anxiety and feelings of being in control

Rationale:
The client is articulating feelings of anxiety and nervousness regarding eating. The nurse needs to include interventions to address the client's anxiety and feelings of being in control. Instruction on nutrition, normal menstruation, and bodily functions such as vital signs and muscle tone may or may not be appropriate for the client at this time.