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Anorexia nervosa in adolescents

An overview

doi: 10.1097/01.NURSE.0000585884.32689.b1
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INSTRUCTIONS Anorexia nervosa in adolescents: An overview


  • Read the article. The test for this CE activity is to be taken online at
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Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity. Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour, and the District of Columbia, Georgia, and Florida CE Broker #50-1223.

Payment: The registration fee for this test is $12.95.

Anorexia nervosa in adolescents: An overview

GENERAL PURPOSE: To review current treatment approaches and appropriate nursing interventions for adolescents diagnosed with AN. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be better able to: 1. Identify risk factors for AN. 2. List complications of AN. 3. Identify nursing considerations for adolescents with AN.

  1. Which statement about AN is correct?
    1. AN has the lowest suicide rate of all mental health disorders.
    2. AN affects only adolescent girls over age 12.
    3. AN is characterized by self-starvation and a preoccupation with weight.
  2. Which is a diagnostic criterion for AN?
    1. self-induced vomiting
    2. persistent behavior that interferes with weight gain
    3. BMI below 10th percentile for age
  3. Which is accurate concerning an AN subtype?
    1. Signs and symptoms of the binge-eating type must be present for at least 6 months.
    2. Self-induced vomiting indicates the restricting type of AN.
    3. The misuse of laxatives or enemas is associated with the binge-eating or purging type.
  4. Which is a biological risk factor for developing an eating disorder?
    1. a family member diagnosed with a mental health disorder
    2. a history of overeating
    3. male gender
  5. Psychological risk factors for developing AN include all except
    1. anxiety.
    2. perfectionism.
    3. a limited social network.
  6. Which is a warning sign of AN in an adolescent female?
    1. losing interest in athletic activities
    2. refusing to eat socially with family and friends
    3. trying to lose 5 lb before the eighth grade dance
  7. Malnutrition associated with AN
    1. reduces brain tissue.
    2. causes menorrhagia.
    3. improves neuropsychological functioning.
  8. Physical signs of AN include
    1. diaphoresis.
    2. menorrhagia.
    3. syncope.
  9. Changes in bone marrow due to AN may cause
    1. anemia.
    2. leukocytosis.
    3. thrombocytosis.
  10. Refeeding syndrome
    1. typically occurs during managed weight restoration.
    2. can lead to cardiac dysrhythmias and sudden death.
    3. occurs routinely with a 2 kg/week weight gain.
  11. Inpatient hospitalization for treatment of AN is
    1. preferable to outpatient therapy.
    2. justified only if outpatient treatment is unsuccessful.
    3. indicated to treat physiologic or cardiac instability.
  12. The Practice Guideline for the Treatment of Patients with Eating Disorders
    1. provides empirical evidence for critical aspects of inpatient care.
    2. lists guidelines for consistency in outpatient care.
    3. focuses on nursing protocols.
  13. What is the role of a school health nurse in evaluating adolescents for eating disorders?
    1. to complete a comprehensive physical assessment
    2. to refer students with growth failure or extreme weight loss for evaluation
    3. to administer the SCOFF questionnaire to middle-school girls
  14. Which group of adolescents should be considered for bone density testing?
    1. females with 3 months of amenorrhea
    2. males with significant weight loss
    3. students at high risk for eating disorders
  15. Family-based treatment
    1. is a short-term intervention begun during hospitalization.
    2. does not include cognitive behavioral therapy.
    3. empowers parents to take charge of their child's weight restoration.
  16. Pharmacotherapy for AN is indicated only for
    1. outpatient treatment.
    2. comorbidities.
    3. weight gain.
  17. Which is a red flag on intake to a residential program?
    1. heart rate of 80 beats/minute
    2. 30 mm Hg orthostatic change in systolic BP
    3. BMI greater than 20
  18. Which is characterized as painful or itchy erythema?
    1. paronychia
    2. striae distensae
    3. perniosis
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