When developing a plan of care for clients with feeding and ...

[cdr_15]

When developing a plan of care for clients with feeding and eating disorders, the nurse knows that which factor makes them challenging to treat? Select all that apply.
 
  1. Hormone dysregulation
  2. Peer influences
  3. Co-morbid medical illness
  4. Exposure to different forms of media
  5. Loss of connection to family or culture

Question 2

The nurse assessing a patient diagnosed with anorexia nervosa knows that this diagnosis is characterized by which compensatory behavior?
 
  1. Repeated regurgitation of food
  2. Episodes of binging and purging
  3. Excessive exercise and diuretic misuse
  4. Lack of interest in food and in eating food

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Answer to Question 1

Answer: 1, 2, 4, 5
Explanation: The multifactorial nature of eating disorders makes them challenging to treat. Some factors that might influence how a nurse may treat the disorders include: negative peer influences; low self-esteem or low motivation for recovery; distorted thinking, such as feelings of shame and hopelessness; hormone dysregulation; media images emphasizing thinness; and loss of connection to family, culture, and/or interests. Co-morbid medical illnesses are typically not a factor in feeding and eating disorders but should be treated if present.

Answer to Question 2

Answer: 3
Explanation: Anorexia nervosa is characterized by food restriction, preoccupation with food, excessive exercise, self-induced vomiting, and laxative and/or diuretic misuse. Bulimia nervosa is characterized by episodes of binging and purging; rumination disorder involves the repeated regurgitation of food; avoidant/restrictive food intake disorder is characterized by a lack of interest in food and in eating food.