The nurse on an inpatient psychiatric unit is developing the plan of care for a 17-year-old girl admitted with anorexia nervosa
The client's weight is 40% below normal. She engages in many rituals related to eating, asks to be weighed several times per day, and complains that her access to the bathroom is limited. The nurse develops a contract with her. The purpose of the contract is to do which of the following?
A) Provide the client with a feeling of responsibility and control over her behavior
B) Provide the therapist with a strategy for client compliance
C) Allow the client a tool by which to negotiate behavior
D) Provide the nurse with a tool for evaluating the plan of care
Ans: A
Feedback:
A contract may be useful in eliminating power struggles with the client. Even though clients may rebel against contract terms, it reassures them to know that consistent limits are being maintained and that they can trust the staff to help maintain control, and ultimately it enables the client to feel more in control.
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