Question

The nurse observes a client admitted with anorexia nervosa doing repeated, vigorous sit-ups. The most appropriate action from the nurse is to:

A Tell the client she cannot do exercises.
B Allow the client to complete the exercise routine.
C Take away the client's visitor privileges.
D Interrupt the behavior and offer to walk with the client.

Answer 1

The most appropriate action for the nurse is: D. Interrupt the behavior and offer to walk with the client.

Step-by-step explanation:

In the context of anorexia nervosa, excessive exercise is often a manifestation of the disorder and can exacerbate physical health risks. Interrupting the behavior is crucial as it aims to prevent further harm. Offering to walk with the client presents an opportunity for redirection and engagement in a less strenuous physical activity. This approach allows the nurse to actively intervene in the harmful behavior while also demonstrating care and support for the client's well-being.

It fosters a therapeutic relationship, opening a door for communication and potentially addressing the underlying concerns or emotions prompting the compulsive exercise. This intervention prioritizes the client's safety and encourages a healthier approach to physical activity within the parameters of their treatment plan.