What is the rationale for establishing a contract with a patient with an eating disorder at the beginning of treatment?
a. The patient and nurse form a coalition that is difficult for the family to disrupt.
b. A team approach to planning therapy ensures that physical and emotional needs will be met.
c. Patient involvement in decision making increases the sense of control and promotes cooperation.
d. Permission for refeeding is essential because this measure has the potential for negative effects.
C
It is often difficult to secure patient cooperation with treatment. A contract helps engage the patient in the therapeutic alliance and obtains commitment to the treatment process.
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