Eating Disorders

Question 1

Describe the clinical symptoms of anorexia nervosa

Answer 1

Weight loss of at least 15% of ideal or original body weight; hair loss; dry skin; irregular heart rate; decreased pulse; decreased BP; amenorrhea (abnormal absence of menstruation); dehydration; electrolyte imbalance

Question 2

State two psychodynamic differences between anorexia and bulimia

Answer 2

Anorexia nervosa deals with issues of control and a struggle between dependence and independence. Bulimia deals with loss of control (binge eating) and guilt (purging)

Question 3

A client with anorexia has her friend bring her several cookbooks so she can plan a party when she is discharged. What nursing intervention is appropriate in addressing this behavior?

Answer 3

Discuss activities that don’t involve food and that can take place after discharge. Discuss the cookbooks with the treatment team, and if the treatment plan so indicates, take the books from the client

Question 4

Anorexia nervosa may be precipitated by what factors?

Answer 4

Mother-daughter conflicts usually focusing on independence/dependence issues; discomfort with maturation; need for control; desire for perfection

Question 5

What might the initial treatment include for a client admitted to the hospital with a diagnosis of bulimia nervosa?

Answer 5

Blood work to evaluate electrolyte status; replenishment of electrolytes and fluids as indicated; careful monitoring for evidence of vomiting