A client with anorexia nervosa engages in manipulative behavior. She tells the nurse, "I can't get weighed this morning, because I drank a glass of juice a few minutes before breakfast." The best approach by the nurse would be:
1. "I'm pleased that you took in some calories."
2. "We can get around this, if you'll eat a doughnut, too."
3. "The rule is ‘weigh before eating'; now we have to put it off until tomorrow."
4. "This is weight day. Please step on the scale."
ANS: 4
This response is calm, matter-of-fact, and firm. The nurse is not permitting the client to be manip-ulative, nor is she setting up a situation in which a power struggle is likely to arise. Option 1 praises the client for her behavior. Option 2 is manipulative on the part of the nurse. Option 3 suggests the client will not be weighed according to schedule.
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