Samantha is a 19-year-old girl suffering from anorexia. Although she denies any eating issues, her mother insists that it's getting worse and Samantha isn't following her treatment regimen. Discuss this disorder
a. What is this disorder and what are the clinical symptoms?
b. Does it precipitate other issues or problems or do other disorders cause anorexia, or both? Explain.
c. What kinds of treatment are recommended?
d. What prognosis is there for this disorder?
Students' answers should include the following:
a. Appetite affected by various things such as odors, stress, drugs, psychological issues, or problems with the appetite center
No bouts of hunger, nausea when food is smelled, weight loss, and vitamin deficiency
Vitamin B deficiencies are seen more in acute phases.
Fat absorption is affected in chronic phase.
b. May be affected by other disorders that can cause a loss of appetite or lack of appetite or disorders affecting appetite center of brain
Variety of approaches for treatment, short term (less than a week), no medical attention
c. Persistent high-calorie diet with high supplemental feedings, tube feedings, and parenteral feedings
Psychological support with psychiatric treatment
Client may experience bowel issues due to inadequate nutritional intact prior to treatment.
d. May be the only disorder or issue; may come secondary with other disease processes
You might also like to view...
The nurse recognizes that pain assessment is an important aspect of all nursing assessments. Clients might be reluctant to self-report pain because of: Standard Text: Select all that apply
1. A fear of shots. 2. A belief that expressions of pain reveal weakness. 3. Not wanting to disturb staff. 4. A fear of addiction. 5. A fear that the nurse won't believe the pain reported.
What are the MOST common sites for bone marrow aspiration?
a. long bones of the lower extremities c. sternum and iliac crest b. pelvis and floating ribs d. ulna and radius
A caregiver asks the nurse for advice on how to explain the death of a grandfather to a 5-year-old child
The nurse shares with the caregiver that children of this age look at death differently than adults do and that children would best understand and benefit from the explanation: a. "Your grandfather has gone to rest." c. "His body and his heart fore out." b. "Your grandfather worked too hard." d. "He has gone to a much better place."
The nurse is planning care for a school-age client and family who have expressed wanting to use complementary and alternative modalities (CAM) in the treatment plan. Which interventions can the nurse safely implement into the plan of care?
1. Substituting an herbal remedy for a prescribed medication 2. Encouraging the parents to share which modalities they would like to implement 3. Educating on the benefits and risks for each modality 4. Using essential oils to decrease nausea 5. Discouraging the use of faith-based therapies