A nursing diagnosis for a patient diagnosed with bulimia nervosa ...

[Cooldude101]

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]

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.

[Cooldude101]

TYSM

[ktidd]

Gracias!