The nurse knows that which aspect of the Maudsley Model family approach is appropriate for an adolescent admitted with bulimia nervosa?
1. 20 to 30 inpatient family sessions
2. A gradual reduction in parental authority
3. Conjoint family sessions over a 3 month time frame
4. Outpatient therapy focusing on strict dietary restrictions and weight control
Answer: 2
Explanation: Family approaches are effective with children and adolescents with illness duration of less than 3 years. The Maudsley model approach is the best-studied approach and occurs in an outpatient setting with 10-20 family sessions spaced out over 6 to 12 months. The recommended format is conjoint during the initial phase, with directed parental authority that is coached on effective means of controlling the child or adolescent's eating and weight. A gradual reduction in parental authority is directed as the child or adolescent complies with expectations.
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