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