A patient being treated for an eating disorder is prescribed ...

[rl]

A patient being treated for an eating disorder is prescribed refeeding. Which outcome is the primary reason a patient receiving this treatment is closely monitored by the nursing staff?
 
  a. Complies with treatment commendation made by treatment team
  b. Regularly consumes and tolerates between 3000 to 4000 kcal/day
  c. No physical signs or symptoms of an electrolyte imbalance are observable
  d. Discharge depends on patient's ability to demonstrate a gain of 3 pounds per week

Question 2

The interdisciplinary care team has suggested family-based therapy as a part of the care plan of a teenager diagnosed with an eating disorder. Which statement is the basis for this recommendation?
 
  a. This approach encourages family involvement in the patient's recovery.
  b. The family is often dysfunctional, enmeshed, and in need of counseling.
  c. This approach has shown a significant impact on successful long-term prognosis.
  d. The family implements the behavioral contract as established by the plan of care.

[akemokai]

Answer to Question 1

ANS: C
Although all options are outcomes requiring nursing assessment and monitoring, the acute and serious nature of electrolyte imbalances has priority over the remaining options.

Answer to Question 2

ANS: C
Outcome studies of this approach to anorexia show a 90 improvement rate as compared with an 18 improvement rate for those receiving individual therapy. Five-year follow-up studies show that 70 of patients remained in recovery with this type of treatment. The re-maining options are all correct but they do not directly address the impact on long-term prognosis.

[rl]

Excellent

[peter]

TYSM