NUR 145

SAS 43
MANGHIHILOT, LEAFLOR ANN CRAVE
BSN 2

1.) B.
- Fluid volume deficit is the priority over altered nutrition (A) since the
situation indicates that the client is dehydrated.
2.) C.
- The client with anorexia nervosa uses starvation as a way of managing
anxiety. Talking out feelings with the nurse is an adaptive coping.
3.) B.
- Weight gain is the best indication of the client's improvement. The goal
is for the client to gain 1-2 pounds per week.
4.) A.
- Bulimia is characterized by binge eating which is characterized by taking
in a large amount of food over a short period of time.
5.) A.
- If the client learns problem solving skills, she will gain a sense of control
over her life.
6.) B.
- The client is often ashamed of her eating behavior. Discussion should
focus on feelings.
7.) C.
- Inpatient treatment of a client with anorexia usually focuses initially on
establishing a plan for refeeding to combat the effects of self-induced
starvation. Refeeding is accomplished through behavioral therapy,
which uses a system of rewards and reinforcement to assist in
establishing weight restoration.
8.) A.
- One of the core issues concerning the family of a client with anorexia is
control. The family's acceptance of the client's ability to make
independent decisions is key to successful family intervention.
9.) C.
 - Enmeshment is a fusion or overinvolvement among family members
whereby the expectation exists that all members think and act alike. The
child who always acts to please her parents is an example of how
enmeshment affects development.
10.) B.
- Establishing a consistent eating plan and monitoring client's weight are
important to this disorder.