1. "Do you often feel fat?" 2. "Who plans the family meals?" 3. "What do you eat in a typical day?" 4. "What do you think about your present weight?"
The client has verbalized that she would like to buy some new clothes, but her finances are limited. Group members have brought some used clothes for the client to replace her old clothes. The client believes that the new clothes were much too tight, so she has reduced her calorie intake to 800 calories daily.
Rationale: The nursing intervention of observing for adverse side effects of refeeding most directly relates to the goal of weight gain. Options 1 and 3 would relate to goals dealing with coping. Option 4 is an inappropriate intervention. S, a client with anorexia nervosa, is particularly resistant to the idea of weight gain.
Intervention to Help Someone with Bulimia Nervosa. Mary is a fictional character used to demonstrate how an intervention for bulimia nervosa works. When we left Mary, she was in tears.
People with bulimia binge an average of 11.7 times each week. During binges, people with bulimia consume an average of 3,415 calories, the total number ranging from 1200 to 5000.
She and Mary had always enjoyed going out to lunch together on Saturdays, but for the past few weeks, Mary had declined. She also noticed that Mary spent a great deal of time talking about food and what she ate. With these vague concerns in mind, Lisa began reading up on eating disorders.