A client with anorexia nervosa is particularly resistant to the idea of weight gain
What is the
rationale for establishing a contract with the client in which she agrees to participate in measures
designed to produce a specified weekly weight gain?
a. Because severe anxiety concerning eating is to be expected, objective and
subjective data must be routinely collected.
b. A team approach to planning the diet ensures that physical and emotional needs
will be met.
c. Client involvement in decision making increases sense of control and promotes
compliance with treatment.
d. Because of increased risk of physical problems with refeeding, client permission
is essential.
C
A sense of control for the client is vital to the success of therapy. A diet that controls weight gain
can allay client fears of too-rapid weight gain. Option A: Data collection is not the reason for
contracting. Option B: A team approach is wise but is not a guarantee that needs will be met. Option
D: Permission for treatment is a separate issue. The contract for weight gain is an additional aspect
of treatment.
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