20. In developing a care plan for a 17-year-old female admitted to the eating disorders unit with symptoms indicative of an eating disorder, Nurse Johnson is gathering comprehensive information. Considering the client's health issues and stated concerns, which of the following assessments would be the least useful for Nurse Johnson as she formulates the care plan?
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EXPLANATION
✔Correct answer:
Inquiring about her romantic relationships, such as having a boyfriend. While inquiring about a client's romantic relationships can provide some insight into their social interactions and support system, it is the least useful assessment for developing a care plan specifically for an eating disorder. Eating disorders are complex and multifaceted, often influenced by a variety of psychological, familial, and social factors. Therefore, gathering information about mood changes, family dynamics, and peer interactions are more directly relevant and beneficial in understanding and addressing the root causes and maintenance factors of the eating disorder.
When trying to understand why a plant is not thriving, focusing on the quality of soil, water, and sunlight is more important than knowing if it was moved from one pot to another. Similarly, understanding mood, family dynamics, and social interactions provides more crucial information for treating an eating disorder.
In developing the care plan, Nurse Johnson should prioritize assessments that provide comprehensive insights into the client’s mental and emotional health, family relationships, and social interactions. These factors are critical in formulating effective interventions for eating disorders. The nurse should also consider involving a multidisciplinary team, including therapists, dietitians, and social workers, to address the complex needs of the client.
✘Incorrect answer options:
Gathering information about recent changes in her mood or emotional state. This assessment is crucial as mood changes and emotional states are closely linked to eating disorders. Understanding these aspects can help identify underlying issues such as depression, anxiety, or stress.
Assessing family dynamics and relationships using a genogram. Family dynamics play a significant role in the development and maintenance of eating disorders. A genogram helps visualize family relationships and patterns, which can be valuable in identifying areas for intervention.
Evaluating her ability to socialize and interact with peers. Social interactions and peer relationships are important in understanding the client's social support network and identifying any social pressures or issues contributing to the eating disorder.
References
- Townsend, M. C. (2018). Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice (9th ed.). Philadelphia, PA: F.A. Davis.
- Varcarolis, E. M. (2020). Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care (4th ed.). St. Louis, MO: Elsevier.