A 30-year-old woman is in therapy for bulimia, depression, and ...

[Jkov05]

A 30-year-old woman is in therapy for bulimia, depression, and anxiety. She relates that she feels unable to cope with the demands of her life and that her boyfriend recently ended their long-term relationship.
 
  She states that she frequently binges when her stress levels are high. She denies feeling suicidal but states, I'm a mess. I'm just not smart enough to figure out how to run my life Which of the following nursing diagnoses would best identify the client's problems?
  A) Social Isolation related to recent loss of significant relationship
  B) Chronic Low Self-esteem related to unrealistic self-expectations
  C) Fear related to life stressors
  D) Risk for Delayed Growth and Development related to low self-esteem

Question 2

Kim's identical twin sister was just diagnosed with anorexia nervosa. Kim tells the nurse that she is concerned that she may also develop the disorder. Which of the following responses by the nurse is the most appropriate?
 
  A) Eating disorders have not been found to be genetic, so you do not have a risk for developing the disorder.
  B) While eating disorders have shown a genetic link, environmental factors also play a role in the development of eating disorders.
  C) Identical twins have about a 5 chance of both twins developing an eating disorder.
  D) It is not genetics that increases the risk, it is environment. Since you both live in the same environment, you have an equal chance of developing the disorder.

[Kimmy]

Answer to Question 1

Ans: B
Feedback:
Clients with eating disorders generally have low self-esteem even though they achieve well at school, sports, and work. Most nursing diagnoses for clients with eating disorders center on psychosocial problems, such as Chronic Low Self-Esteem related to unrealistic expectations from self or others, lack of positive feedback, and striving to please others to gain acceptance.

Answer to Question 2

Ans: B
Feedback:
Studies of twins and the sisters and daughters of people with eating disorders suggest a genetic link. Monozygotic twins have a concordance rate of 50 to 80 for eating disorders (Anderson and Yager, 2005). Wade and colleagues (2000) attribute 58 of cases of anorexia nervosa to genes, with environmental factors also having a strong influence. The exact role of genetics in eating disorders, however, remains speculative.

[Jkov05]

Excellent

[atrochim]

TYSM