A young adult client recently admitted with a diagnosis of anorexia nervosa is observed pacing rapidly up and down the unit hallway. The client appears severely anxious and tells the nurse, "I had to eat that entire sandwich at lunch, and I can literally feel the fat forming on my thighs. I have to keep moving." Which action should the nurse take?
- Acknowledge the client's distress and redirect them to a structured, seated activity.Answer
- BWalk alongside the client in the hallway while exploring their underlying fears about gaining weight.
- CExplain to the client that it is physiologically impossible for a single sandwich to immediately turn into body fat.
- DInform the client that pacing violates their treatment plan and instruct them to return to their room.
Answer
The correct action is to acknowledge the client's distress and redirect them to a structured, seated activity.
The correct answer addresses both the psychological and physiological needs of the client. By acknowledging the distress, the nurse builds a therapeutic alliance and validates the client's emotional experience. Simultaneously, redirecting the client to a structured, seated activity safely interrupts the maladaptive behavior (rapid pacing) and prevents dangerous calorie expenditure, which is a top physiological priority for a client with anorexia nervosa.
Step-by-Step Solution
Key Concept
Management of Eating Disorders and Maladaptive Behaviors