The nurse knows that which aspect of the Maudsley Model family ...

[asmith134]

The nurse knows that which aspect of the Maudsley Model family approach is appropriate for an adolescent admitted with bulimia nervosa?
 
  1. 20 to 30 inpatient family sessions
  2. A gradual reduction in parental authority
  3. Conjoint family sessions over a 3 month time frame
  4. Outpatient therapy focusing on strict dietary restrictions and weight control

Question 2

The nurse knows that, if left untreated, the patient with bulimia nervosa is at risk for which priority nursing diagnosis?
 
  1. Fatigue
  2. Powerlessness
  3. Risk for injury
  4. Coping, Ineffective

[aprice35067]

Answer to Question 1

Answer: 2
Explanation: Family approaches are effective with children and adolescents with illness duration of less than 3 years. The Maudsley model approach is the best-studied approach and occurs in an outpatient setting with 10-20 family sessions spaced out over 6 to 12 months. The recommended format is conjoint during the initial phase, with directed parental authority that is coached on effective means of controlling the child or adolescent's eating and weight. A gradual reduction in parental authority is directed as the child or adolescent complies with expectations.

Answer to Question 2

Answer: 3
Explanation: Purging fulfills the need for self-control, power, and relief from tension. These needs are ways that the patient with bulimia nervosa ineffectively copes with stressors and their feelings. The body may become fatigued from the biological stress, but the priority diagnosis would be a risk for injury because the patient is unable to control the binge and purge cycles independently, and this may increase risk for injury in a number of areas, including cardiovascular issues, gastrointestinal illness, and damage to tooth enamel.