A nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?

A) Feelings of hunger
B) Efforts at distraction
C) Environmental stimuli
D) Rigid rules about eating


Ans: C
Self-monitoring is accomplished using a diary in which the client records binges and purges, precipitating emotions, and environmental cues. Emotional and environmental cues are identified, and alternative responses are suggested, tried, and reinforced. When a cue or stimulus leads to a dysfunctional or unhealthy response, the response can be eliminated or an alternate, healthier response to the cue can be substituted, tried, and then reinforced.

Nursing

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