Which nursing interventions are appropriate for a a patient with bulimia nervosa? Select all that apply
1. Monitoring trips to the bathroom
2. Providing emotional support during mealtimes
3. Reviewing events and feelings prior to an episode
4. Providing negative feedback to reframe feelings of purging
5. Encouraging engagement with previously enjoyed activities and experiences
Answer: 1, 2, 3, 5
Explanation: Patients with bulimia nervosa struggle with recurrent episodes of binging and purging. Appropriate interventions for these patients include providing emotional support at mealtimes, helping patients reframe disordered thinking, monitoring trips to the bathroom, preventing food hoarding, reconnecting patients with activities and experiences that they enjoy, and providing positive reassurance and reinforcement of weight and body shape to gain control over purging.
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