A patient has blindness related to conversion disorder. Which response would be most appropriate for ensuring adequate nutrition?

a. Ask other patients to volunteer to feed the patient at each meal.
b. Direct her to locate items on the tray and feed herself unassisted.
c. Assign staff to sit with and take turns feeding the patient at each meal.
d. Explain where the foods and utensils are on the tray so she can self-feed.


D
The patient is expected to maintain some level of independence by feeding herself, while the nurse is supportive in a neutral, matter-of-fact way in order to minimize secondary gains. Being fed by others supports dependency and provides secondary gains of attention and reduced responsibility. Expecting her to eat without any guidance whatsoever is unrealistic because the blindness, while psychogenic in origin, is real.

Nursing

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