James is a 65-year-old client who became a widow last year after ...

[stevenposner]

James is a 65-year-old client who became a widow last year after 40 years of marriage. At his clinic visit the nurse suspects that he looks thinner and notes his weight has decreased from 180 pounds to 160 pounds.
 
  While talking with James she asks: 1. How are you adjusting to the loss of your wife?
   2. Who cooks for you at home?
   3. Would you like me to set up meals on wheels?
   4. Can you afford to buy food on your social security income?

Question 2

A common risk factor for the development of eating disorders among adolescents is:
 
  1. Weight loss programs.
   2. Bullying in school.
   3. Fad diets.
   4. Peer pressure.

[trampas]

Answer to Question 1

1

Rationale: Depression can lead to weight loss, isolation, and change in eating habits and should be treated either through counseling or antidepression medications. Inquiring about the preparation of food is important but will not be helpful if the underlying cause is an eating disorder resulting from depression. Home-delivered meal programs for the elderly can be helpful in assuring that they have affordable meals available to them, although the meals are not cooked according to individual preferences. Financial problems can be a factor for eating disorders among clients on fixed incomes, but more often results in weight gain since foods that are inexpensive are often filled with calories while having little nutritious value.

Answer to Question 2

4

Rationale: Weight loss programs promote healthy food choices and lifestyle changes. Being the target of bullying in school would be more likely to promote depression or acting out rather than eating disorders. Fad diets focus on unique ways to consume foods, but are usually a passing trend. Peer pressure can result in a desire to conform to the group and can result in low self-esteem, depression, and eating disorders.

[stevenposner]

Thanks

[trampas]

Welcome