An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, "I like the style.". The patient's weight dropped from 130 to 95 pounds
She has amenorrhea. Which diagnosis is most likely? a. Eating disorder not otherwise specified
b. Anorexia nervosa
c. Bulimia nervosa
d. Binge eating
B
Overcontrol of eating behaviors, extreme weight loss, amenorrhea, preoccupation with food, and wearing several layers of loose clothing to appear larger are part of the clinical picture of an individual with anorexia nervosa. The bulimic individual usually is near normal weight. The binge eater is often overweight. The patient with eating disorder not otherwise specified may be obese.
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The nurse manager has instituted a policy of sending information to the staff via e-mail. Many misunderstandings have occurred since this policy was implemented. What technique should the manager use to reduce this miscommunication?
1. Using text messaging instead of e-mailing 2. Requiring a return e-mail from everyone reading the information 3. Being certain that e-mails go only to the intended recipients 4. Sending all e-mails with a message line that says "Important"
A patient is diagnosed with a gastric ulcer located on the antrum. The nurse is aware that the ulcer may also affect the function of which adjacent structure?
1. Sphincter of Oddi 2. Acinus 3. Pyloric sphincter 4. Lower esophageal sphincter
Pre-operative fasting is not indicated in most cases and can lead to:
1. Increased fatigue. 2. Daily headaches. 3. Depletion of glucose stores. 4. Insulin resistance.
According to Erikson's psychosocial theory of development, a child between ages 6 and 11 is going through which of the following stages?
a. initiative versus guilt c. identity versus role confusion b. industry versus inferiority d. autonomy versus shame and doubt