3. When nutritional status has improved, begin to explore with Client will be able to verbalize adaptive coping mechanisms that can be realistically incorporated into his or her lifestyle, thereby eliminating the need for maladaptive eating behaviors.Interventions with 1. Establish a trusting relationship with client by being honest, 2. Acknowledge client’s anger at feelings of loss of con- 4. Explore family dynamics. Help client to identify his or her Long-term Goalemotions and accepting them as his or her own. recognize how maladaptive eating behaviors are related to accepting, and available and by keeping all promises. al within the family system, and of identifying independent apeutic nurse-client relationship is built on trust.ily structure.trol brought about by established eating regimen (refer to INTERVENTIONS for Imbalanced Nutrition).discuss importance of client’s separation of self as individu-client the feelings associated with his or her extreme fear of gaining weight. family structure and ways to help relieve those concerns. Also, adaptive behaviors are to be eliminated.emotional problems—often issues of control within the fam-role contributions and their appropriateness within the family system. Assist client to identify specifiSelected RationalesEmotional issues must be resolved if mal- c concerns within the Eating Disorders Client must The ther-●^227
2506_Ch12_218-235.indd Sec1:227 2506 Ch 12 218 - 235 .indd 2. Client is able to verbalize adaptive coping strategies that can^ 6. Explore with client ways in which he or she may feel in con-SOutcome Criteria 1. Client is able to assess maladaptive coping behaviors 5. Initially, allow client to maintain dependent role. To deprive ec 1 anxiety to rise to an unmanageable level. As trust is developed accurately.the individual of this role at this time could cause his or her tive eating behaviors. trol within the environment without resorting to maladap-courages the client to use behaviors that are more acceptable.dently. Positive reinforcement increases self-esteem and en-be used in the home environment.decision-making. forcement for independent behaviors and problem-solving and dependent as possible in self-care activities. Offer positive rein-and physical condition improves, encourage client to be as in-eating behaviors will diminish.life issues, the need to gain control through maladaptive : 227 Client must learn to function indepen-When client feels control over major 10/1/10 9:36:01 AM 10 / 1 / 10 9 : 36 : 01 AM