Author Question: Which of the following must the nurse consider when deciding appropriate boundaries for the client ... (Read 14 times)

brutforce · **on:** Jul 19, 2018

Which of the following must the nurse consider when deciding appropriate boundaries for the client with eating disorders and their family members?

1. Family members of clients with anorexia become enmeshed
2. Family members of clients with bulimia are overly affectionate
3. Family members of individuals with bulimia tend to bond together
4. Family members of clients with anorexia are usually very autonomous

Question 2

The nurse is admitting a client from the emergency room. Which of the following would be used to clarify the nurse's understanding of the client's chief complaint?

1. If you are bleeding, where is the blood?
2. I feel your pain when I see you hold your side.
3. Are you saying you feel that you are bleeding inside?
4. Don't worry; we have the technology to take care of you.

voltaire123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: Families of clients with anorexia become enmeshed: that is, the boundaries between the members are weak, interactions are intense, dependency on one another is high, and autonomy is minimal. Families of individuals with bulimia tend to isolate and are not overly affectionate.

Answer to Question 2

3
Rationale: Asking if the client feels there is internal bleeding seeks to clarify the client's complaint. Telling the client not to worry is an example of minimizing, it discounts the client's feelings, and is not therapeutic. Stating that the nurse feels the client's pain may be therapeutic but does not clarify the client's complaint. Demanding that the client show the blood is a form of challenging which may put the client on the defensive and does not clarify the client's complaint.