Which nursing intervention is most effective for a 20-year-old patient diagnosed with an eating disorder to address self-esteem?

Offering independent decision-making opportunities is an effective intervention for a young adult with an eating disorder to help address self-esteem. When a patient is given chances to make their own decisions, it fosters a sense of autonomy and empowerment. For someone who may feel a lack of control in various aspects of their life, particularly related to their body image and eating habits, being allowed to make choices can reinforce their self-worth and promote a positive self-concept. It encourages the patient to recognize their capabilities and strengths, which can be particularly beneficial in the recovery process.

In contrast, reviewing previously successful coping strategies may not directly address current self-esteem issues. It could be beneficial, but it may not actively promote the sense of autonomy needed at this stage. Creating a quiet environment with minimal stimuli is helpful for reducing anxiety but does not specifically target the improvement of self-esteem. Supporting a dependent role throughout treatment could further undermine the patient’s self-efficacy and self-esteem, as reliance on caregivers might reinforce feelings of inadequacy or helplessness rather than promoting independence and resilience.