A female client with anorexia nervosa describes herself as “a whale.” However, the nurse’s assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg).
Considering the client’s unrealistic body image, which intervention should nurse Angel be included in the plan of care?
a- Asking the client to compare her figure with magazine photographs of women her age
b- Assigning the client to group therapy in which participants provide realistic feedback about her weight
c- Confronting the client about her actual appearance during one-on-one sessions, scheduled during each shift
d- Telling the client of the nurse’s concern for her health and desire to help her make decisions to keep her healthy
Answer D.
A client with anorexia nervosa has an unrealistic body image that causes consumption of little or no food.
Therefore, the client needs assistance with making decisions about health.
Instead of protecting the client’s health, options A, B, and C may serve to make the client defensive and more entrenched in her unrealistic body image.
a- Asking the client to compare her figure with magazine photographs of women her age
b- Assigning the client to group therapy in which participants provide realistic feedback about her weight
c- Confronting the client about her actual appearance during one-on-one sessions, scheduled during each shift
d- Telling the client of the nurse’s concern for her health and desire to help her make decisions to keep her healthy
Answer D.
A client with anorexia nervosa has an unrealistic body image that causes consumption of little or no food.
Therefore, the client needs assistance with making decisions about health.
Instead of protecting the client’s health, options A, B, and C may serve to make the client defensive and more entrenched in her unrealistic body image.
Labels
Psychiatric Mental Health