A nursing intervention that will be planned to occur early in the nurse-patient relationship with a client with an eating disorder is:

1. Formulating a nurse-client contract
2. Using confrontation to attack denial
3. Placing the client in a therapeutic group
4. Attacking enmeshment by separating client and family


ANS: 1
A contract is formulated early to give the client an opportunity to participate in treatment and increase the client's sense of control. By establishing agreed-upon limits and outcomes, power struggles and manipulation can be minimized. 2. Confrontation is rarely used early in the rela-tionship. 3. Placement in a group would normally take place after the contract has been agreed upon. 4. This would not occur early in therapy.

Nursing

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