Registered Practical Nurse (RPN) Practice Test

What approach is suggested for hospitalized individuals with anorexia nervosa on a weight-increasing protocol?

1. Flexibility in meal planning

2. Behavioural plans using positive and negative reinforcements

3. Individualized diets focusing on preferences

4. Group therapy sessions with peers

The correct answer is: Behavioural plans using positive and negative reinforcements

The suggested approach of using behavioral plans that incorporate positive and negative reinforcements is rooted in the principles of behavioral psychology. This method aims to modify the individual's eating behaviors by rewarding compliant behaviors, such as following the meal plan or reaching weight goals, while implementing appropriate consequences for non-compliance. This reinforcement strategy can be particularly effective in treating anorexia nervosa, as it encourages patients to engage with their treatment more actively and fosters motivation to gain weight. The structure provided by behavioral plans helps create a clear framework within which patients can understand the expectations and the consequences of their actions. This approach has the potential not just to promote weight gain but also to address the psychological aspects of the disorder, helping to change negative thought patterns associated with food and body image. While the other choices may contribute positively to a comprehensive treatment plan, they do not specifically emphasize the structured behavioral modifications that are critical for addressing the eating disorder's challenging behaviors. Flexibility in meal planning, for instance, may not provide the necessary consistency in treatment, which is often vital for individuals with anorexia. Individualized diets focusing on preferences could risk altering nutritional goals if the preferences do not align with the weight-gain protocol. Group therapy sessions, while beneficial for emotional support, may not directly address