Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5066
QUESTION: The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:
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O a.) avoid shopping for large amounts of food.
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O b.) control eating impulses.
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O c.) identify anxiety-causing situations.
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O d.) eat only three meals per day.
RATIONALERATIONALE: Bulimic behavior is generally a maladaptive coping response to stress and underlying issues. The client must identify anxiety-causing situations that stimulate the bulimic behavior and then learn new ways of coping with the anxiety. Controlling shopping for large amounts of food isn't a goal early in treatment. Managing eating impulses and replacing them with adaptive coping mechanisms can be integrated into the care plan after initially addressing stress and underlying issues. Eating three meals per day isn't a realistic goal early in treatment.NURSING PROCESS STEP: ImplementationCLIENT NEEDS CATEGORY: Psychosocial integrityCLIENT NEEDS SUBCATEGORY: NoneCOGNITIVE LEVEL: Application
