Author Question: A patient diagnosed with anorexia nervosa is resistant to weight gain. What is the rationale for ... (Read 72 times)

iveyjurea · **on:** Jul 19, 2018

A patient diagnosed 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 may be unreliable.
b. Patient involvement in decision making increases sense of control and promotes compliance with treatment.
c. Because of increased risk of physical problems with refeeding, the patient's permission is needed.
d. A team approach to planning the diet ensures that physical and emotional needs will be met.

Question 2

A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25 of body weight. The serum potassium is currently 2.7 mg/dL. Which nursing diagnosis applies?

a. Adult failure to thrive related to abuse of laxatives as evidenced by electrolyte imbalances and weight loss
b. Disturbed energy field related to physical exertion in excess of energy produced through caloric intake as evidenced by weight loss and hyperkalemia
c. Ineffective health maintenance related to self-induced vomiting as evidenced by swollen parotid glands and hyperkalemia
d. Imbalanced nutrition: less than body requirements related to reduced oral intake as evidenced by loss of 25 of body weight and hypokalemia

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

Answer to Question 1

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 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.

Answer to Question 2

ANS: D
The patient's history and lab result support the nursing diagnosis Imbalanced nutrition: less than body requirements. Data are not present that the patient uses laxatives, induces vomiting, or exercises excessively. The patient has hypokalemia rather than hyperkalemia.