A psychiatric clinical nurse specialist uses cognitive-behavioral ...

[formula1]

A psychiatric clinical nurse specialist uses cognitive-behavioral therapy for a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy?
 
  a. What are your feelings about not eating foods that you prepare?
  b. You seem to feel much better about yourself when you eat something.
  c. It must be difficult to talk about private matters to someone you just met.
  d. Being thin doesn't seem to solve your problems. You are thin now but still unhappy.

Question 2

An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient:
 
  a. to eat a small meal after purging.
  b. not to skip meals or restrict food.
  c. to increase oral intake after 4 PM daily.
  d. the value of reading journal entries aloud to others.

[Ashley I]

Answer to Question 1

ANS: D
The correct response is the only strategy that attempts to question the patient's distorted thinking.

Answer to Question 2

ANS: B
One goal of health teaching is 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 eat a large breakfast but no lunch and increase intake after 4 PM will lead to late-day bingeing. Journal entries are private.