Question

A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body weight. Which of the following interventions should the nurse include in the plan?

A. Include a liquid supplement with meals.
B. Identify the client's trigger foods.
C. Allow the client at least 1 hr for each meal.
D. Weigh the client at bedtime each day.

Answer 1

The correct answer is B.) Identify the client's trigger foods. The most appropriate intervention for a client with bulimia nervosa 5% above ideal body weight would be to identify the client's trigger foods to help manage binge eating habits.

Step-by-step explanation:

When updating the plan of care for a client with bulimia nervosa who is 5% above their ideal body weight, the appropriate intervention to include in the plan would be to identify the client's trigger foods. Bulimia nervosa is characterized by a cycle of binge eating followed by compensatory behaviors to avoid weight gain, such as purging. Understanding the foods that trigger binge eating can help manage the disorder by allowing the client to avoid or cope with these triggers in a healthier manner. It's important to note that interventions such as weighing the client daily, specifically at bedtime, may increase the focus on weight and could potentially exacerbate the condition.

Other interventions that can be helpful in the treatment of bulimia nervosa include establishing regular meal patterns, promoting self-monitoring, providing psychoeducation, and implementing cognitive-behavioral strategies to modify distorted thought patterns about food and body image. These interventions are typically included within a comprehensive treatment program that may involve a team of healthcare professionals, including nurses, dietitians, psychologists, and other therapists.