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NCLEX-RN · Question #679

A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:

The correct answer is C. Observe behavior for 1-2 hours after meals to prevent vomiting. (A) Eating alone is not recommended for anorexic clients because they tend to hoard food instead of eating it. (B) The client should be praised for whatever she eats, which is usually a small portion orpercentage of what is served. Praise should not be withheld until she eats…

Physiological Integrity: Reduction of Risk Potential

Question

A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:

Options

  • AAllow her privacy at mealtimes
  • BPraise her for eating everything
  • CObserve behavior for 1-2 hours after meals to prevent vomiting
  • DEncourage her to eat in moderation, choose foods that she likes, and avoid foods that she dislikes

How the community answered

(35 responses)
  • A
    9% (3)
  • B
    17% (6)
  • C
    71% (25)
  • D
    3% (1)

Explanation

(A) Eating alone is not recommended for anorexic clients because they tend to hoard food instead of eating it. (B) The client should be praised for whatever she eats, which is usually a small portion orpercentage of what is served. Praise should not be withheld until she eats everything. (C) The client should be observed eyeto- eye for at least 1 hour following meals to prevent discarding food stashed in her clothing at mealtime or engaging in selfinduced vomiting. (D) If offered these choices, the client would choose low-caloric foods, not a nutritious diet.

Topics

#anorexia nervosa#purging prevention#dietary monitoring#behavior modification

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