Anorexia nervosa in adolescents An overviewNursing2019: October 2019 - Volume 49 - Issue 10 - p 30–31 doi: 10.1097/01.NURSE.0000585884.32689.b1 CE Connection Free Author InformationAuthors Article OutlineOutline Article MetricsMetrics For more than 115 additional continuing-education articles related to psychosocial/psychiatric topics, go to NursingCenter.com/CE. Earn CE credit online: Go to www.nursingcenter.com/CE/nursing and receive a certificate within minutes. Nursing2019 will no longer facilitate mail-in continuing-education tests. All CE tests must be taken online at www.nursingcenter.com/ce/nursing. Please address any questions to customer service at 1-800-787-8985. INSTRUCTIONS Anorexia nervosa in adolescents: An overview TEST INSTRUCTIONS PROVIDER ACCREDITATION Back to Top | Article Outline INSTRUCTIONS Anorexia nervosa in adolescents: An overview TEST INSTRUCTIONS Read the article. The test for this CE activity is to be taken online at www.nursingcenter.com/CE/nursing. You'll need to create (it's free!) and log in to your personal CE Planner account before taking online tests. Your planner will keep track of all your Lippincott Professional Development online CE activities for you. There's only one correct answer for each question. A passing score for this test is 13 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost. For questions, contact Lippincott Professional Development: 1-800-787-8985. Registration deadline is September 3, 2021. Back to Top | Article Outline PROVIDER ACCREDITATION 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. Which statement about AN is correct? AN has the lowest suicide rate of all mental health disorders. AN affects only adolescent girls over age 12. AN is characterized by self-starvation and a preoccupation with weight. Which is a diagnostic criterion for AN? self-induced vomiting persistent behavior that interferes with weight gain BMI below 10th percentile for age Which is accurate concerning an AN subtype? Signs and symptoms of the binge-eating type must be present for at least 6 months. Self-induced vomiting indicates the restricting type of AN. The misuse of laxatives or enemas is associated with the binge-eating or purging type. Which is a biological risk factor for developing an eating disorder? a family member diagnosed with a mental health disorder a history of overeating male gender Psychological risk factors for developing AN include all except anxiety. perfectionism. a limited social network. Which is a warning sign of AN in an adolescent female? losing interest in athletic activities refusing to eat socially with family and friends trying to lose 5 lb before the eighth grade dance Malnutrition associated with AN reduces brain tissue. causes menorrhagia. improves neuropsychological functioning. Physical signs of AN include diaphoresis. menorrhagia. syncope. Changes in bone marrow due to AN may cause anemia. leukocytosis. thrombocytosis. Refeeding syndrome typically occurs during managed weight restoration. can lead to cardiac dysrhythmias and sudden death. occurs routinely with a 2 kg/week weight gain. Inpatient hospitalization for treatment of AN is preferable to outpatient therapy. justified only if outpatient treatment is unsuccessful. indicated to treat physiologic or cardiac instability. The Practice Guideline for the Treatment of Patients with Eating Disorders provides empirical evidence for critical aspects of inpatient care. lists guidelines for consistency in outpatient care. focuses on nursing protocols. What is the role of a school health nurse in evaluating adolescents for eating disorders? to complete a comprehensive physical assessment to refer students with growth failure or extreme weight loss for evaluation to administer the SCOFF questionnaire to middle-school girls Which group of adolescents should be considered for bone density testing? females with 3 months of amenorrhea males with significant weight loss students at high risk for eating disorders Family-based treatment is a short-term intervention begun during hospitalization. does not include cognitive behavioral therapy. empowers parents to take charge of their child's weight restoration. Pharmacotherapy for AN is indicated only for outpatient treatment. comorbidities. weight gain. Which is a red flag on intake to a residential program? heart rate of 80 beats/minute 30 mm Hg orthostatic change in systolic BP BMI greater than 20 Which is characterized as painful or itchy erythema? paronychia striae distensae perniosis Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.