Question

A nurse is creating a plan of care for a client that has anorexia nervosa. Which of the following interventions should the nurse include in the plan

A.) Weigh the client once weekly at the same time of the day

B.) Stay with the client for 30 mins after meals

C.) Allow the client to schedule mealtimes

D.) Assign privileges based on direct weight gain

Answer 1

A plan of care for a client with anorexia nervosa should prioritize healthy eating habits, overall health, and a holistic approach rather than just weight gain. Therapeutic interventions focus on attainable goals, a positive relationship with food, and body image, along with the need for ongoing support.

Step-by-step explanation:

When creating a plan of care for a client with anorexia nervosa, it is essential to understand that treatment aims to foster recovery, including gaining control over eating habits and reaching a normal weight. Assigning privileges based on direct weight gain should be approached with caution, as it could potentially reinforce an unhealthy focus on weight rather than overall health. The nurse’s intervention should emphasize establishing normal eating patterns, providing nutritional education, and addressing psychological concerns.

Moreover, while weight restoration is a critical aspect of recovery, the therapeutic environment should promote a holistic approach, taking into account the individual's physical, emotional, and social wellbeing. In addition to monitoring weight, the plan of care can include descriptive approaches such as setting attainable eating goals, supporting a healthy relationship with food and body image, and incorporating structured meal plans.

It is important to note that relapse rates can be significant, and some individuals may contend with issues related to eating behaviors for a lifetime. Therefore, ongoing support, counseling, and medical care are crucial components of care for individuals with anorexia nervosa.