A survivor of childhood abuse is hospitalized following an episode of wrist cutting. The patient has a history of binge–purge eating disorder as well as difficulty trusting and relating to others. What is the nurse's priority intervention?
a. Set limits on self-harmful behavior.
b. Foster belief in and valuing of family unity.
c. Confront abnormal eating patterns and self-mutilation.
d. Encourage discussion of personal responsibilities associated with abuse.
A
Setting limits on self-mutilating behavior or purging is necessary to provide for the safety needs of the patient. Individuation should be fostered. The victim should not be encouraged to accept any personal responsibility for the abuse. The patient is aware of the eating patterns and self-mutilation; confrontation will not build trust.
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