The nurse is interviewing Jessica, 18 years old, about her eating behaviors. Jessica's parents have brought her to treatment because her mother suspects that Jessica has been binge eating and vomiting
The nurse asks Jessica if she ever feels that she cannot control her eating. Jessica is silent for a moment, and her mother states, "I know she can't control it; she ate an entire cake last night!" Which of the following comments by the nurse is best?
A) "I see. Jessica, why did you feel like you have to eat so much?"
B) "Do you often have to answer for your daughter?"
C) "Jessica, is what your mother said true?"
D) "I see. Jessica, do you ever feel as though you cannot control your eating?"
Ans: D
Feedback:
Parents in enmeshed families frequently try to protect their children by speaking for them, as in "She feels happy most of the time." Members are not accustomed to identifying and expressing their own feelings and need frequent prompting from the nurse. The nurse encourages members to speak for themselves and not for one another.
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