Psychiatric Mental Health Nursing by Videbeck

➤ SHORT-ANSWER QUESTIONS List four behaviors that might lead the nurse to suspect another health care professional of substance ...

434 ➤ CLINICAL EXAMPLE Sharon, 43 years of age, is attending an outpatient treatment program for alcohol abuse. She is divorced, ...

435 18 Learning Objectives After reading this chapter, the student should be able to 1.Compare and contrast the symptoms of anor ...

436 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS Eating is part of everyday life. It is necessary for survival, but it is also ...

18 EATINGDISORDERS 437 their weight. Clients with the restricting subtype lose weight primarily through dieting, fasting, or ex- ...

438 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS ◗ SYMPTOMS OFBULIMIANERVOSA Recurrent episodes of binge eating Compensatory b ...

18 EATINGDISORDERS 439 About 50% of clients with bulimia recover fully, 20% continue to meet all the criteria for the disease, a ...

440 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS anorexia nervosa on chromosome 1. Genetic vulner- ability also might result f ...

into smaller clothes (slim cultural ideal) and feelings of power, control, and even superiority over others by losing weight. Th ...

Thus many women speak of being “good” when they stick to their diet and “bad” when they eat desserts or snacks. Pressure from ot ...

begin to resolve these issues and improvecommuni- cation. Family therapy also is useful to help members to be effective particip ...

444 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ ...

iors. Avoiding “bad” or fattening foods gives them a sense of power and control over their bodies, whereas eating, binging, or p ...

Data Analysis Nursing diagnoses for clients with eating disorders include the following: Imbalanced Nutrition: Less Than / More ...

interrupt the binge and purge cycle. He or she en- courages clients to eat meals with their families or, if they live alone, wit ...

448 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS NURSING CARE PLAN BULIMIA Nursing Diagnosis ➤Ineffective Coping Inability to ...

18 EATINGDISORDERS 449 continued from page 448 These limits will discourage previous binge be- havior, which involves sneaking a ...

450 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS continued from page 449 The client may have become accustomed to judg- ing hi ...

18 EATINGDISORDERS 451 cycle. Clients need encouragement to set realistic goals for eating throughout the day (Muscari, 2002). E ...

ered successful if the client maintains a body weight within 5% to 10% of normal with no medical compli- cations from starvation ...