An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient:
a. to eat a small meal after purging.
b. not to skip meals or restrict food.
c. to increase oral intake after 4 PM daily.
d. the value of reading journal entries aloud to others.
ANS: B
One goal of health teaching is normalization of eating habits. Food restriction and skipping meals lead to rebound bingeing. Teaching the patient to eat a small meal after purging will probably perpetuate the need to induce vomiting. Teaching the patient to eat a large breakfast but no lunch and increase intake after 4 PM will lead to late-day bingeing. Journal entries are private.
You might also like to view...
The nurse is caring for an older patient who is nearing death and realizes that no professional clergy needs to be contacted. This patient is most likely a member of which faith?
A) Pentecostal B) Unitarianism C) Seventh-Day Adventists D) Church of Jesus Christ of Latter Day Saints
Symptoms of shock are not evident until there is a 2000-mL loss of fluid volume
Indicate whether the statement is true or false
The researcher conducts a qualitative study that explores the feelings of nurses who care for victims of intentional burning. What sampling methods are most appropriate for this study? (Select all that apply.)
a. Quota sampling b. Purposive sampling c. Cluster sampling d. Stratified random sampling e. Systematic sampling f. Snowball sampling g. Theoretical sampling
A client is admitted with acute pancreatitis. The nurse recognizes the client's nutritional outcomes have been met when the client exhibits which of the following?
1. Client's weight has increased 0.5 pounds over 1 week. 2. Client's weight has decreased 2 pounds over 1 week. 3. Client's weight has decreased 2 pounds over the past day. 4. Client's weight has increased 1 pound over the past day.