NCLEX-PN® ExaminationPsychosocial IntegrityMedium
A practical nurse is caring for a client who is diagnosed with anorexia nervosa. During meal times, the client consistently crushes food, hides it in napkins, and frequently requests to use the restroom immediately after eating. Which of the following nursing interventions is the most appropriate?
- AEncourage the client to eat all food items on the tray without interruption.
- BProvide the client with liquid nutritional supplements instead of solid food.
- CObserve the client closely during and for at least one hour after meals.
- DAllow the client privacy during meals to promote independence and trust.
Show answer & explanationAnswer & explanation
Correct answer: C. Observe the client closely during and for at least one hour after meals.
Clients with anorexia nervosa often engage in behaviors to avoid caloric intake or purge food. Close observation during and after meals is crucial to prevent these behaviors and ensure adequate nutrition, which is a primary goal in their care.
Why the other options are wrong
- A. While encouraging consumption is important, it does not address the client's secretive behaviors or ensure compliance without observation.
- B. Switching to liquid supplements without addressing the underlying behaviors may not prevent caloric avoidance and could be a less therapeutic option if solids are tolerated.
- D. Allowing privacy during meals would enable the client to continue maladaptive eating behaviors undetected.
Anorexia Nervosa Interventions
Nursing interventions for anorexia nervosa prioritize re-establishing healthy eating patterns and preventing compensatory behaviors.
- Focus on nutritional restoration and weight gain.
- Monitor eating behaviors and post-meal activities.
- Address body image distortion and underlying psychological issues.
Memory trick: Anorexia: Observe the plate, prevent the escape.