A patient diagnosed 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 may be unreliable.
b. Patient involvement in decision making increases sense of control and promotes compliance with treatment.
c. Because of increased risk of physical problems with refeeding, the patient's permission is needed.
d. A team approach to planning the diet ensures that physical and emotional needs will be met.
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 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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