A nursing intervention that will be planned to occur early in the nurse-patient relationship with a patient with an eating disorder is:
a. Using confrontation to attack denial
b. Placing the patient in a therapeutic group
c. Formulating a therapeutic nurse-patient alliance
d. Attacking enmeshment by separating patient and family
ANS: C
An alliance is formulated early to give the patient an opportunity to participate in treatment and increase the patient's sense of control, thus eliminating power struggles. Confrontation is rarely used early in the relationship. Placement in a group and anti-enmeshment techniques would normally take place after the contract has been agreed on.
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