Chapter 16

1. Chapter 16 Eating Disorders

2. Eating Disorders • Anorexia nervosa • Bulimia nervosa • Eating disorder not otherwise specified (NOS) • Binge eating disorder

3. Etiology • Biological Genetics • Neurobiological • Altered neurotransmitters • Psychological factors • Environmental factors

4. Anorexia Nervosa Nursing Process • Assessment • Nursing Diagnosis • Outcomes Identification • Planning • Refeeding syndrome

5. Anorexia Nervosa Interventions • Acute Care • Establish trust • Monitor eating patterns • Psychosocial Interventions • Pharmacological interventions • Health teaching and health promotion • Milieu management

6. Advanced Practice Interventions • Psychotherapy • Individual therapy • Group therapy • Family therapy

7. Anorexia Nervosa Evaluation • Ongoing • Short-term indicators revised as necessary to achieve treatment outcomes

8. Bulimia Nervosa Nursing Process • Assessment • Nursing Diagnosis • Outcomes Identification • Planning

9. Bulimia Nervosa Interventions • Acute phase/basic level intervention • Milieu therapy • Pharmacological interventions • Counseling • Health teaching and health promotion • Advanced practice interventions • Psychotherapy • Cognitive-behavioral therapy

10. Bulimia Nervosa Evaluation • Ongoing • Revised as necessary to reach desired outcomes

11. Binge Eating Disorder • A variant of compulsive overeating • No compensatory behaviors • Frequently symptom of an affective disorder • Cognitive-behavioral therapy, behavior therapy, dialectical behavior therapy, and interpersonal therapy most effective

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:

13. “Do you ever experience lost time?” “When was your last menstrual period?” “Do you often wear heavy clothing in warm weather?” “How long does it take for you to fall asleep at night?”