Which nursing interventions are appropriate for a a patient with ...

[j.rubin]

Which nursing interventions are appropriate for a a patient with bulimia nervosa? Select all that apply.
 
  1. Monitoring trips to the bathroom
  2. Providing emotional support during mealtimes
  3. Reviewing events and feelings prior to an episode
  4. Providing negative feedback to reframe feelings of purging
  5. Encouraging engagement with previously enjoyed activities and experiences

Question 2

The nurse knows that which nursing diagnoses are most important when considering care of a patient with anorexia nervosa? Select all that apply.
 
  1. Anxiety
  2. Powerlessness
  3. Body Image, Disturbed
  4. Self-Esteem, Chronic Low
  5. Nutrition, Imbalanced: Less Than Body Requirements

[essyface1]

Answer to Question 1

Answer: 1, 2, 3, 5
Explanation: Patients with bulimia nervosa struggle with recurrent episodes of binging and purging. Appropriate interventions for these patients include providing emotional support at mealtimes, helping patients reframe disordered thinking, monitoring trips to the bathroom, preventing food hoarding, reconnecting patients with activities and experiences that they enjoy, and providing positive reassurance and reinforcement of weight and body shape to gain control over purging.

Answer to Question 2

Answer: 3, 5
Explanation: While all the answer choices represent possible nursing diagnoses for patients with eating disorders, at the core of most eating disorder pathology is the over evaluation of the importance of body shape and the control of body weight. Therefore, the primary nursing diagnoses patients with eating disorders will be either disturbed body image or, for those patients whose priority is weight restoration, imbalanced nutrition: less than body requirements.

[j.rubin]

TY

[essyface1]

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