Why should a nurse introduce the matter of a contract during the ...

[asmith134]

Why should a nurse introduce the matter of a contract during the first session with a new patient? Contracts:
 
  a. specify what the nurse will do for the patient.
  b. spell out participation and responsibilities of both parties.
  c. are indicative of the feeling tone established between the participants.
  d. are binding and prevent either party from prematurely ending the relationship.

Question 2

When a patient with anorexia nervosa is admitted for treatment, the milieu should provide: (Select all that apply.)
 
  a. flexible meal times.
  b. unscheduled weight checks.
  c. adherence to a selected menu.
  d. monitoring during bathroom trips.
  e. observation during and after meals.
  f. privileges correlated with affective display.

[leannegxo]

Answer to Question 1

B
A contract emphasizes that the nurse works with the patient rather than doing something for the patient. Working with is a process that suggests each party is expected to participate and share responsibility for outcomes.

Answer to Question 2

C, D, E, F
Priority milieu interventions support restoration of weight and normalization of eating patterns. This requires close supervision of the patient's eating and prevention of exercise, purging, and so forth. Menus and mealtimes are precisely observed, not flexible. Observation is maintained during and after meals to prevent throwing away food or purging. All trips to the bathroom are monitored. Weighing is performed on a regular schedule. Privileges are correlated with weight gain and treatment plan adherence.

[asmith134]

TY

[leannegxo]

Happy to Help