Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5090
QUESTION: An adolescent client is being admitted to the psychiatric unit for treatment of an eating disorder. Her admission interview reveals a history of recurrent episodes of binge eating and self-induced vomiting. The nurse recognizes these as symptoms of what disease?
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O a.) Anorexia nervosa
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O b.) Bulimia nervosa
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O c.) Pica
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O d.) Rumination disorder
RATIONALERATIONALE: The essential features of bulimia nervosa include eating binges followed by feelings of guilt, humiliation, and self-deprecation. These feelings cause the client to engage in self-induced vomiting, use laxatives or diuretics, follow a strict diet, or fast to overcome the effects of the binges. Clients with anorexia nervosa manifest an extreme fear of becoming fat and have a distorted body image. They're unable to perceive an accurate body size and shape. Weight loss most often occurs through decreasing food intake. Pica and rumination disorder are considered feeding disorders. The client with pica eats inappropriate items such as clay. Clients with rumination disorder regurgitate, then rechew food they previously swallowed. This disorder occurs in emotionally deprived or mentally retarded infants and in mentally retarded adults.NURSING PROCESS STEP: AssessmentCLIENT NEEDS CATEGORY: Psychosocial integrityCLIENT NEEDS SUBCATEGORY: NoneCOGNITIVE LEVEL: Analysis
