Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5048

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5048

QUESTION: One of the goals for a client with anorexia nervosa is that the client will demonstrate increased individual coping by responding to stress in constructive ways. Which action is the best indicator that the client is working toward meeting the goal?

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O a.) The client drinks 4 L of fluid per day.

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O b.) The client paces around the unit most of the day.

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O c.) The client keeps a journal and discusses it with the nurse.

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O d.) The client talks almost constantly with friends by telephone.

RATIONALE

RATIONALE: The client is moving toward meeting the goal because recording and discussing feelings is a constructive way to manage stress. Although physical activity can reduce stress, the anorexic client is more likely to use pacing to burn calories and lose weight. Although talks with friends can decrease stress, constant talking is more likely a way of avoiding dealing with problems. Increased fluid intake may be an attempt by the client to curb her appetite and artificially increase her weight.
NURSING PROCESS STEP: Evaluation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Application