The weight loss of anorexia nervosa is often triggered by: a. ...

[APUS57]

The weight loss of anorexia nervosa is often triggered by:
 
  a. Sexual abuse. c. Independence from family.
  b. School failure. d. Traumatic interpersonal conflict.

Question 2

A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of this should be based on knowing that:
 
  a. This is usually benign and temporary.
  b. This is usually caused by Klinefelter's syndrome.
  c. Administration of estrogen effectively reduces gynecomastia.
  d. Administration of testosterone effectively reduces gynecomastia.

[bimper21]

Answer to Question 1

ANS: D
Weight loss may be triggered by a typical adolescent crisis such as the onset of menstruation or a traumatic interpersonal incident; situations of severe family stress such as parental separation or divorce; or circumstances in which the young person lacks personal control, such as being teased, changing schools, or entering college. There may in fact be a history of sexual abuse; however, this is not the trigger. These adolescents are often overachievers who are successful in school, not failures in school. The adolescent is most often enmeshed with his or her family.

Answer to Question 2

ANS: A
The male breast responds to hormone changes. Some degree of bilateral or unilateral breast enlargement occurs frequently in boys during puberty. This is not a manifestation of Klinefelter's syndrome. Administration of estrogen or testosterone will have no effect on the reduction of breast tissue and may aggravate the condition.