An appropriate intervention for a patient with bulimia nervosa ...

[123654777]

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]

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.

[123654777]

TYSM

[pratush dev]

Excellent