A client with a diagnosis of bulimia is being discharged from ...

[jessicacav]

A client with a diagnosis of bulimia is being discharged from inpatient care. The nurse considers which of the following indicators to be most important when evaluating the effectiveness of the care plan?
 
  A) The client has begun to talk about food positively.
  B) The client admits that bulimia is unhealthy.
  C) The client eats six small meals per day.
  D) The client has moved into her own apartment.

Question 2

The mother and stepfather of a 15-year-old girl are distraught and confused about their daughter's eating disorder, stating, We did everything for her. I don't understand why she chose this.
 
  The nurse should be aware that family-based theories of causality propose that eating disorders develop how?
  A) In response to pressure by the parents to have a thin, attractive daughter
  B) As an attempt for the child to get attention from disinterested parents
  C) Due to the socialization of girls to evaluate themselves against certain idealized standards of appearance
  D) As a way for the child to feel a sense of control in response to controlling parents

[brbarasa]

Answer to Question 1

Ans: C
Feedback:
The nurse evaluates the client's physical and psychosocial responses to interventions. Desired physical outcomes include weight gain, normal laboratory values and vital signs, and return of secondary sexual characteristics and menstruation. Desired psychosocial outcomes include a realistic perception of body image, direct expression of feelings, improved self-esteem, a sense of control over self and environment, and constructive family process. The client's adoption of healthy eating habits is paramount.

Answer to Question 2

Ans: D
Feedback:
Studies provide some evidence to support that disturbed patterns of interaction exist in families of girls with anorexia. In such situations, from the viewpoint of family structure, the appropriate hierarchy of parent in charge of child is reversed in the area of food and eating. The child-adolescent is eating or not eating as she desires, and parents have very little influence over these behaviors. Feeling extremely helpless, parents often make extraordinary efforts to appease the child to get her to eat.

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Gracias!

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TYSM