After ignoring a unit rule regarding being weighed, a patient receiving treatment for an eating disorder tells the nurse, "I can't get weighed this morning, because I drank a glass of juice a few minutes before breakfast."
Which statement by the nurse is consistent with treatment principles?
a. "I'm pleased that you took in some calories."
b. "This is weight day. Please step on the scale."
c. "We need to discuss why you chose to ignore the rules about being weighed."
d. "The rule is ‘weigh before eating'; now we have to put it off until tomorrow."
ANS: B
The nurse needs to create a structured and supportive environment with clear, consistent, and firm limits. This helps to establish a predictable routine and promotes internal control that the patient currently lacks. This response is calm, matter-of-fact, and firm. The nurse is not per-mitting the patient to be manipulative, nor is she setting up a situation in which a power struggle is likely to arise. The patient should not be praised for behavior that broke the rules. Although the issue needs to be discussed, this is not the time to address it. The remaining op-tion suggests that the patient will not be weighed according to schedule.
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