1. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. Chapter 16 Eating Disorders

2. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 2 Eating Disorders Anorexia nervosaAnorexia nervosa Bulimia nervosaBulimia nervosa Eating disorder not otherwise specified (NOS)Eating disorder not otherwise specified (NOS) Binge eating disorderBinge eating disorder

3. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 3 Biological Genetics Biological Genetics Neurobiological Neurobiological –Altered neurotransmitters Psychological factors Psychological factors Environmental factors Environmental factors Etiology

4. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 4 Anorexia Nervosa Nursing Process AssessmentAssessment Nursing DiagnosisNursing Diagnosis Outcomes IdentificationOutcomes Identification PlanningPlanning –Refeeding syndrome

5. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 5 Anorexia Nervosa Interventions Acute CareAcute Care –Establish trust –Monitor eating patterns –Psychosocial Interventions –Pharmacological interventions –Health teaching and health promotion –Milieu management

6. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 6 Advanced Practice Interventions PsychotherapyPsychotherapy –Individual therapy –Group therapy –Family therapy

7. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 7 Anorexia Nervosa Evaluation OngoingOngoing Short-term indicators revised as necessary to achieve treatment outcomesShort-term indicators revised as necessary to achieve treatment outcomes

8. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 8 Bulimia Nervosa Nursing Process AssessmentAssessment Nursing DiagnosisNursing Diagnosis Outcomes IdentificationOutcomes Identification PlanningPlanning

9. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 9 Bulimia Nervosa Interventions Acute phase/basic level interventionAcute phase/basic level intervention –Milieu therapy –Pharmacological interventions –Counseling –Health teaching and health promotion Advanced practice interventionsAdvanced practice interventions –Psychotherapy Cognitive-behavioral therapyCognitive-behavioral therapy

10. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 10 Bulimia Nervosa Evaluation OngoingOngoing Revised as necessary to reach desired outcomesRevised as necessary to reach desired outcomes

11. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 11 Binge Eating Disorder A variant of compulsive overeatingA variant of compulsive overeating No compensatory behaviorsNo compensatory behaviors Frequently symptom of an affective disorderFrequently symptom of an affective disorder Cognitive-behavioral therapy, behavior therapy, dialectical behavior therapy, and interpersonal therapy most effectiveCognitive-behavioral therapy, behavior therapy, dialectical behavior therapy, and interpersonal therapy most effective

12. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 12 An adolescent female is brought to the school nurse after fainting during gym class. She is grossly underweight, wears baggy clothes, and has dry skin. She complains of feeling cold despite wearing two sweaters. To further assess for an eating disorder, the nurse should ask:An adolescent female is brought to the school nurse after fainting during gym class. She is grossly underweight, wears baggy clothes, and has dry skin. She complains of feeling cold despite wearing two sweaters. To further assess for an eating disorder, the nurse should ask:

13. Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc. 13 a.“Do you ever experience lost time?” b.“When was your last menstrual period?” c.“Do you often wear heavy clothing in warm weather?” d.“How long does it take for you to fall asleep at night?”