A nurse is caring for an anorexic client with a nursing diagnosis of Imbalanced nutrition less than body requirements related to dysfunctional eating patterns. Which interventions would be supportive for this client? Select all that apply. A. Provide small frequent meals B. Monitor weight gain C. Allow the client to determine food choices from a menu D. Encourage the client to keep a journal E. Monitor the client during meals and for 1 hour after meals F. Encourage the client to eat three substantial meals per day
The Correct Answer and Explanation is:
The most appropriate interventions for a client with anorexia and the nursing diagnosis of Imbalanced nutrition less than body requirements related to dysfunctional eating patterns are:
A. Provide small frequent meals
Providing small, frequent meals can be less overwhelming and more manageable for the client. Large meals may cause discomfort or anxiety for anorexic individuals. Small portions also help prevent feelings of fullness that may discourage eating.
B. Monitor weight gain
Monitoring weight gain is crucial in evaluating the progress of the client’s nutritional status and ensuring that the interventions are effective. A steady, controlled weight gain would indicate improvement in the client’s condition.
C. Allow the client to determine food choices from a menu
Allowing the client to have some control over food choices can foster a sense of autonomy and reduce the power struggle often seen in individuals with anorexia. Giving them a choice from a menu helps build trust and may increase their willingness to eat.
D. Encourage the client to keep a journal
Encouraging the client to keep a journal can help them express feelings and reflect on their eating habits, triggers, and progress. Journaling can serve as a therapeutic tool for addressing underlying psychological issues contributing to dysfunctional eating patterns.
E. Monitor the client during meals and for 1 hour after meals
Monitoring the client during meals and for one hour after helps ensure that the client consumes the meal without purging or engaging in other harmful behaviors. This is an essential safety measure to prevent further complications and reinforce healthy eating behaviors.
F. Encourage the client to eat three substantial meals per day
This intervention is not the most appropriate for an anorexic client. Requiring the client to eat three substantial meals per day may be overwhelming and lead to feelings of failure or anxiety. Instead, small frequent meals are preferred, as mentioned earlier.
Conclusion
The correct answers are A, B, C, D, and E. These interventions aim to support the client in a way that reduces anxiety and encourages healthier eating behaviors while monitoring their physical and psychological progress.
