A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate?
a. "You and I will have to sit down and discuss this problem."
b. "It bothers me to see you exercising. I am afraid you will lose more weight."
c. "Let's discuss the relationship between exercise, weight loss, and the effects on your body."
d. "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."
ANS: D
A matter-of-fact statement that the nurse's perceptions are different will help to avoid a power struggle. Treatment plans have specific goals for weight restoration. Exercise is limited to promote weight gain. Patients must be held accountable for required behaviors.
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