Question

A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client's plan of care? A. Weighing the client after she eats B. Having a staff member remain with her for 1 hour after she eats C. Placing high-protein foods in the center of the client's plate D. Providing the client with child-size utensils

Short answer

Answer: The most appropriate nursing intervention is having a staff member remain with her for 1 hour after she eats. This provides support, supervision, and a comfortable eating environment, which encourages recovery.

Step-by-step solution

Option A: Weighing the client after she eats

Weighing the client immediately after eating might create a strong focus on her weight, which can be detrimental to her recovery and potentially increase anxiety. Therefore, this option is not recommended.

Option B: Having a staff member remain with her for 1 hour after she eats

This intervention allows for supervision and support during the critical post-meal period. It helps to prevent purging behaviors, provides reassurance, and encourages a comfortable eating environment. The correct answer is option B.

Option C: Placing high-protein foods in the center of the client's plate

While it's essential to encourage a balanced and nutritious diet, this intervention doesn't address the specific psychological and emotional needs of a client with anorexia nervosa. Placing high-protein foods in the center of the plate might not be as effective as other interventions in promoting recovery.

Option D: Providing the client with child-size utensils

This intervention is aimed at controlling portion size but could potentially be counterproductive. Using smaller utensils may maintain the focus on food restriction and not adequately address the emotional and psychological aspects of the client's situation. In conclusion, the most appropriate nursing intervention for a teen hospitalized with anorexia nervosa eating in the dining room is option B: having a staff member remain with her for 1 hour after she eats. This intervention provides support, supervision, and a comfortable eating environment, which encourages recovery.