A patient's plan of care is being managed by an interdisciplinary ...

[kfurse]

A patient's plan of care is being managed by an interdisciplinary team familiar with the etiology of eating disorders. Which team principle is most important to the successful treatment of this patient population?
 
  a. The team must preserve the patient's sense of autonomy.
  b. The patient must be an active member of the care planning team.
  c. The patient's family must be included in the decision-making process.
  d. The plan of care must demonstrate collaboration and consistency by the team.

Question 2

A patient diagnosed with bulimia nervosa is hospitalized for treatment of electrolyte im-balance. Which response by the nurse to the patient's request to use the bathroom imme-diately after eating lunch is most therapeutic?
 
  a. No one is allowed to leave the dining room during meals.
  b. Okay, but as you know I will accompany you to the bathroom.
  c. We've discussed that there are other options than to induce vomiting.
  d. I think I understand your plan, and I cannot permit you to carry it out.

[ms_sulzle]

Answer to Question 1

ANS: D
In order to best assure a good prognosis, the plan of care has to include consistent and
collaborative efforts by all members of the interdisciplinary team. Although the remaining options are goals to be strived for, they do not have the importance that collaborative and consistent care planning has for successful treatment.

Answer to Question 2

ANS: B
To best ensure a good prognosis, the plan of care has to include consistent and collaborative efforts by all members of the interdisciplinary team. The patient is most likely attempting to purge to manage weight gain and the nurse must attempt to prevent that behavior. Refusing to allow the request does not account for the fact that the patient might actually need to void or defecate. Assuming the patient's motivation in this manner is confrontational and non-therapeutic, suggesting that other options are available is not addressing the immediate re-quest.