A nurse finds a patient diagnosed with anorexia nervosa ...

[mia]

A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate?
 
  a. You and I will have to sit down and discuss this problem.
  b. It bothers me to see you exercising. I am afraid you will lose more weight.
  c. Let's discuss the relationship between exercise, weight loss, and the effects on your body.
  d. According to our agreement, no exercising is permitted until you have gained a specific amount of weight.

Question 2

Three months ago a patient diagnosed with binge eating disorder weighed 198 pounds. Lorcaserin (Belviq) was prescribed. Which current assessment finding indicates the need for reevaluation of this treatment approach? The patient:
 
  a. now weighs 196 pounds.
  b. says, I am using contraceptives.
  c. says, I feel full after eating a small meal.
  d. reports problems with dry mouth and constipation.

[mbcrismon]

Answer to Question 1

ANS: D
A matter-of-fact statement that the nurse's perceptions are different will help to avoid a power struggle. Treatment plans have specific goals for weight restoration. Exercise is limited to promote weight gain. Patients must be held accountable for required behaviors.

Answer to Question 2

ANS: A
Lorcaserin is designed to make people feel full after eating smaller meals by activating a serotonin 2c receptor in the brain and blocking appetite signals. According to the FDA, this drug should be stopped if a patient does not have 5 weight loss after 12 weeks of use. If the patient now weighs 196 pounds, the medication has not been effective. The distracters indicate patient learning was effective and expected side effects of this medication.

[mia]

Wow, this really help

[mjenn52]

Excellent