Author Question: A nursing diagnosis for a patient diagnosed with bulimia nervosa is Ineffective coping related to ... (Read 88 times)

Cooldude101 · **on:** Jul 19, 2018

A nursing diagnosis for a patient diagnosed with bulimia nervosa is Ineffective coping related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting.

The best outcome related to this diagnosis is that within 2 weeks the patient will:

a. appropriately express angry feelings.
b. verbalize two positive things about self.
c. verbalize the importance of eating a balanced diet.
d. identify two alternative methods of coping with loneliness.

Question 2

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention monitor for complications of refeeding. Which system should a nurse closely monitor for dysfunction?

a. Renal
b. Endocrine
c. Integumentary
d. Cardiovascular

jaygar71 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The outcome of identifying alternative coping strategies is most directly related to the diagnosis of Ineffective coping. Verbalizing positive characteristics of self and verbalizing the importance of eating a balanced diet are outcomes that might be used for other nursing diagnoses. Appropriately expressing angry feelings is not measurable.

Answer to Question 2

ANS: D
Refeeding resulting in too-rapid weight gain can overwhelm the heart, resulting in cardiovascular collapse. Focused assessment is a necessity to ensure the patient's physiological integrity. The other body systems are not initially involved in the refeeding syndrome.