Author Question: An appropriate intervention for a patient with bulimia nervosa who binges and purges is to teach the ... (Read 63 times)

123654777 · **on:** Jul 19, 2018

An appropriate intervention for a patient with bulimia nervosa who binges and purges is to teach the patient to:

a. eat a small meal after purging.
b. avoid skipping meals or restricting food.
c. concentrate intake after 4 PM daily.
d. understand the value of reading journal entries aloud to others.

Question 2

A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures designed to produce a specified weekly weight gain?

a. Because severe anxiety concerning eating is expected, objective and subjective data must be routinely collected.
b. Patient involvement in decision-making increases a sense of control and promotes compliance with the treatment.
c. A team approach to planning the diet ensures that physical and emotional needs are met.
d. Because of increased risk of physical problems with refeeding, obtaining patient permission is essential.

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

Answer to Question 1

ANS: B
One goal of health teaching is the normalization of eating habits. Food restriction and skipping meals lead to rebound bingeing. Teaching the patient to eat a small meal after purging will probably perpetuate the need to induce vomiting. Teaching the patient to concentrate intake after 4 PM will lead to late-day bingeing. Journal entries are private.

Answer to Question 2

ANS: B
A sense of control for the patient is vital to the success of therapy. A diet that controls weight gain can allay patient fears of a too-rapid weight gain. Data collection is not the reason for contracting. A team approach is wise but is not a guarantee that needs will be met. Permission for treatment is a separate issue. The contract for weight gain is an additional aspect of treatment.