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Exam NCLEX-RN topic 6 question 85 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 85
Topic #: 6
[All NCLEX-RN Questions]

A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:

  • A. Allow her privacy at mealtimes
  • B. Praise her for eating everything
  • C. Observe behavior for 1–2 hours after meals to prevent vomiting
  • D. Encourage her to eat in moderation, choose foods that she likes, and avoid foods that she dislikes
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Suggested Answer: C 🗳️
(A) Eating alone is not recommended for anorexic clients because they tend to hoard food instead of eating it. (B) The client should be praised for whatever she eats, which is usually a small portion or percentage of what is served. Praise should not be withheld until she eats everything. (C) The client should be observed eyeto- eye for at least 1 hour following meals to prevent discarding food stashed in her clothing at mealtime or engaging in selfinduced vomiting. (D) If offered these choices, the client would choose low-caloric foods, not a nutritious diet.

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