NSG 322 TOPIC 13 EATING DISORDERS
1. for anorexia would be an integral part of the care plan
Answer: maintaining and/or increasing BMI
2. What are the nursing diagnosis for anorexia?
Answer:
- Impaired nutritional intake
- Impaired cardiac output
- Impaired body image
- Impaired coping
3. What are the solutions/nursing planing for a patient with anorexia?
Answer:
-Attainment of a safe weight
- Normalize labs
- Positive body image
- Effective coping
- Positive self-esteem
- Avoid refeeding syndrome
4. What may be indicated to ensure adequate nutrition and gradual safeweight gain for
anorexia?
Answer: Enteral or parenteral nutrition
5. What can too rapid weight gain result in for anorexia?
Answer: fatal refeeding syndrome due to the stress on the heart and body of an increase in
fats, proteinsand carbohydrates
6. The therapeutic milieu of an eating disorder provides for
Answer: pre-determinedmeals designed by dieticians - Clients eat with staff and clients are
provided emotional support during and after meals
7. The milieu of an eating-disorder unit is purposefully organized to
Answer: assist thepatient in establishing more adaptive behavior patterns and normalization of
eating
= Close observation before and after meals as well as monitoring weight, movement,and
bathroom trips are critical
8. During inpatient care, patients will be part of and participate in the unit's milieu. In this
setting, the focus should be on
Answer: eating behaviors and underlyingfeelings of anxiety, dysphoria, low self-esteem, and
lack of control
, 9. To prevent anorexia pts from over exercising, pts may be
Answer: weighed regularlywithout being able to see their weight = patient stands on the scale
backward to decrease anxiety over weight gain
10. What life skills need to be learned for a patient with anorexia?
Answer: Clients learnto meal plan, shop for groceries and maintain a lifestyle supportive to
recovery
11. As the client moves from an acute care or residential setting to outpatient treatment,
monitoring of continues to ensure continued recovery the
attainment of a health weight.
Answer: weights, physical condition, exercise patternsand food patterns
12. After resolving acute symptoms, the patient with anorexia begins a
Answer: weightrestoration program that allows for incremental weight gain = Based on the
patient'sheight, a treatment goal is set at 90% of ideal body weight
13. In anorexia, Mental status exams monitor for
Answer: moods, self-harm, substanceabuse or other co-morbid disorders
14. While physiologic needs take priority in order to stabilize the client medically, treating
anorexia requires
Answer: identification of underlying emotional issues toeliminate the need for disordered
eating
15. For anorexia, family approaches, especially family-based treatment (F-BT), has been
demonstrated to be more effective than
Answer: individual therapy
16. F-BT is an outpatient 6- to 12-week treatment that helps
Answer: parents disrupt theirchild's starvation and excessive exercise and encourage the child to
develop a moreconstructive approach to weight
17. Adolescent-focused therapy (AFT) focuses on
Answer: self-monitoring of eating andweight gain that is supported by the therapeutic
relationship with the nurse or otheradvanced practice therapist
18. What are the three main eating disorders?
Answer: anorexia nervosa, bulimia nervosa,and binge-eating disorder
19. What are the main characteristics of Anorexia Nervosa?
Answer:
- Intense fear ofweight gain
- Distorted body image
1. for anorexia would be an integral part of the care plan
Answer: maintaining and/or increasing BMI
2. What are the nursing diagnosis for anorexia?
Answer:
- Impaired nutritional intake
- Impaired cardiac output
- Impaired body image
- Impaired coping
3. What are the solutions/nursing planing for a patient with anorexia?
Answer:
-Attainment of a safe weight
- Normalize labs
- Positive body image
- Effective coping
- Positive self-esteem
- Avoid refeeding syndrome
4. What may be indicated to ensure adequate nutrition and gradual safeweight gain for
anorexia?
Answer: Enteral or parenteral nutrition
5. What can too rapid weight gain result in for anorexia?
Answer: fatal refeeding syndrome due to the stress on the heart and body of an increase in
fats, proteinsand carbohydrates
6. The therapeutic milieu of an eating disorder provides for
Answer: pre-determinedmeals designed by dieticians - Clients eat with staff and clients are
provided emotional support during and after meals
7. The milieu of an eating-disorder unit is purposefully organized to
Answer: assist thepatient in establishing more adaptive behavior patterns and normalization of
eating
= Close observation before and after meals as well as monitoring weight, movement,and
bathroom trips are critical
8. During inpatient care, patients will be part of and participate in the unit's milieu. In this
setting, the focus should be on
Answer: eating behaviors and underlyingfeelings of anxiety, dysphoria, low self-esteem, and
lack of control
, 9. To prevent anorexia pts from over exercising, pts may be
Answer: weighed regularlywithout being able to see their weight = patient stands on the scale
backward to decrease anxiety over weight gain
10. What life skills need to be learned for a patient with anorexia?
Answer: Clients learnto meal plan, shop for groceries and maintain a lifestyle supportive to
recovery
11. As the client moves from an acute care or residential setting to outpatient treatment,
monitoring of continues to ensure continued recovery the
attainment of a health weight.
Answer: weights, physical condition, exercise patternsand food patterns
12. After resolving acute symptoms, the patient with anorexia begins a
Answer: weightrestoration program that allows for incremental weight gain = Based on the
patient'sheight, a treatment goal is set at 90% of ideal body weight
13. In anorexia, Mental status exams monitor for
Answer: moods, self-harm, substanceabuse or other co-morbid disorders
14. While physiologic needs take priority in order to stabilize the client medically, treating
anorexia requires
Answer: identification of underlying emotional issues toeliminate the need for disordered
eating
15. For anorexia, family approaches, especially family-based treatment (F-BT), has been
demonstrated to be more effective than
Answer: individual therapy
16. F-BT is an outpatient 6- to 12-week treatment that helps
Answer: parents disrupt theirchild's starvation and excessive exercise and encourage the child to
develop a moreconstructive approach to weight
17. Adolescent-focused therapy (AFT) focuses on
Answer: self-monitoring of eating andweight gain that is supported by the therapeutic
relationship with the nurse or otheradvanced practice therapist
18. What are the three main eating disorders?
Answer: anorexia nervosa, bulimia nervosa,and binge-eating disorder
19. What are the main characteristics of Anorexia Nervosa?
Answer:
- Intense fear ofweight gain
- Distorted body image
