The nurse is evaluating care provided to a patient with bulimia nervosa. Which observation indicates that addition care is required?
a. Patient sits and talks with others after eating a meal
b. Patient states that looking in a mirror makes her nauseated
c. Patient states importance of continuing with therapy sessions
d. Patient plans meals and appropriate snacks at the beginning of the day
ANS: B
If looking in the mirror makes the patient nauseated, the patient is not developing a positive self-image and would need additional interventions for this area. A. Talking with others after a meal indicates that the patient is not purging after eating. C. Stating the importance of continuing with therapy sessions indicates that the patient sees the value of meeting with someone to talk about feelings and behaviors. D. Planning meals and snacks indicates the patient is not binging.
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