Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5046

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5046

QUESTION: For a client with anorexia nervosa, which goal takes the highest priority?

✓O a.) The client will establish adequate daily nutritional intake.
✘O b.) The client will make a contract with the nurse that sets a target weight.
✘O c.) The client will identify self-perceptions about body size as unrealistic.
✘O d.) The client will verbalize the possible physiological consequences of self-starvation.

RATIONALE

RATIONALE: According to Maslow's hierarchy of needs, all humans need to meet basic physiologic needs first. Because a client with anorexia nervosa eats little or nothing, the nurse must first plan to help the client meet this basic, immediate physiological need. The nurse may give lesser priority to goals that address long-term plans (as in option 2), self-perception (as in option 3), and potential complications (as in option 4).
NURSING PROCESS STEP: Planning
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Basic care and comfort
COGNITIVE LEVEL: Analysis