Implementation of the nursing treatment plan for the client with bulimia may include which of the following?
A) Increasing coping skills for anxiety
B) Teaching good eating habits
C) Encouraging isolation from peers for a time
D) Meeting dependency needs
Ans: A
Since clients with bulimia experience high anxiety levels and use the binge-purge cycle as a coping mechanism, increasing coping skills for anxiety is a high priority nursing intervention. The focus of treatment should be the underlying anxiety in specific situations instead of teaching about eating habits. Since the client already tends to isolate when bingeing and purging, increasing involvement with others would be a positive treatment modality. Meeting dependency needs is nontherapeutic; the nurse does not need to rescue the client but rather to teach the client to be less helpless.
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