Alcoholism and Eating Disorder

Alcoholismand Eating Disorder

Alcoholismand Eating Disorder


  1. What are the criteria for a substance use disorder according to the DSM- IV? and name two additional criteria that you did not know could be considered Substance use disorder- pg 149 ATI?

Accordingto DSM IV the criteria for a substance use disorder are the recurrentabuse of drug in physically risky conditions, the frequent use of thesubstance that may result in failure to attain major obligations atschool or work (Stuart,2014).After reviewing the ATI manual, I did not know previously was thecontinued substance use despite recurrent or persistent socialinterpersonal issues exacerbated or brought about by substance andthe recurrent substance associated with legal issues.

  1. If your client asked you &quotWhat is the difference between substance abuse and substance dependence?&quot How would you explain (teach) the difference to them? Referring to ATI?

Accordingto the ATI, individuals in substance abuse often experience a poorperformance at work or home. They may also go throughsubstance-related legal issues (Stuart,2014).In substance dependency, people mostly experiences withdrawal andtolerance.

  1. Many people are described as having duel diagnosis. What does that mean?

Andhow would that impact your nursing treatment of that person?

Howwould you go about prioritizing what issue you would treat first?

Dualdiagnosis is used to refer to a person having both mood disorder, forinstance, depression, and an issue with drugs or alcohol. It wouldpresent a formidable challenge in my nursing treatment. Complicationsthat accompany these patients and the mental health system structurepresent various challenges to psychiatrists who attempt to treatthem. I would first address both the mental illness and the substanceuse together since adequate treatment would correct themsimultaneously (Stuart,2014).

  1. Many people have a substance abuse disorder yet so many people are not identified or treated for this disorder. What are some reasons cited in the text regarding failure to detect substance abuse disorders and failure to provide treatment?

Denialis a major reason clients may claim not to have disorders henceunable to seek treatment because they are not ready for any medicalexamination.

  1. Review some methods used to screen for substance abuse disorders? Refer to Box 23-2 AUDIT-C. We will discuss this in class- NO RESPONSE Needed.

  2. What is the legal limit of blood alcohol content with a breathe device? What is the level that could cause death? Is that true for everyone? can the levels change? why or why not?

Thelegal limit for blood content is set at 0.04%. A level above 0.45%would cause death (Stuart,2014).However, this only applies to some people. The levels can changebecause the liver metabolizes a particular level of alcohol per hour.The body weight, water, and fat help fight the effect of alcohol.

  1. Explain briefly what is alcohol withdrawal? what happens in the body? What is the treatment course for alcohol withdrawal? is it life threatening? What is the most significant concern with alcohol withdrawal?

Alcoholwithdrawal is the alteration experienced by the body as one ceasestaking the substance following a prolonged intake. A person mayexperience shakiness, delirium tremens, and mild anxiety. If oneexperiences severe vomiting, he/she should be hospitalized are theideal place, but if it is delirium tremens, then they should be takento the intensive care unit. The condition is life threatening(Stuart,2014).The most significant issue with alcohol withdrawal is that it affectsbreathing, heart rate and blood pressure.

  1. What medications are used when a person is going thru active withdrawal from alcohol? How long does withdrawal typically last? What are the common symptoms of alcohol withdrawal?

Benzodiazepineis prescribed for alcohol withdrawal and they can last up to sevendays. Symptoms include seizures and hallucinations. Benzodiazepinesmedication minimizes psychological withdrawal. In addition,anticonvulsant medications help reduce alcohol seizure effects.

  1. There are several types of medications that can be used after alcohol withdrawal to help the patient from drinking. Discuss at least two different options that are available to your patient and the purposes of the medications.

Minimalclonidine doses are recommended to help the patient reduce thecraving for alcohol and minimize the effects of the withdrawalsymptoms.

  1. When caring for someone with an addiction- we must be aware of our own personal feelings about this population. What are your personal feelings about working with an addict? Is it just willpower or something else? Can you put your personal feels aside while working with an addict? Any type of addiction?

Iwould follow willpower while treating an alcohol addict since I haveto deal with many challenges such as the patient`s denial and theproblem and unpleasant odor (Stuart,2014).I have to reserve my personal feelings while with such individualssince they can be nagging.

  1. In the ATI pg 152-4- there is a table of drugs- identify which street drugs are life threatening when withdrawing from them?

Alcohol,cocaine, heroin and marijuana are the common street drugs.

  1. What are some (3) nursing interventions that are used when someone is intoxicated or withdrawing from a substance or from an addiction? What are some treatment options?

First,a nurse should develop a good relationship with the patients based ontrust and empathy, then present a safe environment for them and lateradvocate for healthy lifestyle behaviors. There is no specifictreatment to reverse intoxication but fluids which cause rehydrationare prescribed, for a severe condition they are often intubated tosupport respirations (Stuart,2014).

  1. Identify one area or subject that would be most beneficial to educate a client or family regarding substance abuse and be ready to discuss this in class. Identify the area- do not address it.

Afterreviewing the topic, I would propose on a topic regarding how to curbaddiction.


  1. Review and be ready to discuss in class:: anorexia nervosa and the two types and the usual onset. DO NOT Respond.

  2. Review and be ready to discuss in class:: Bulimia Nervosa and two types and the usual onset. DO NOT Respond.

  3. Review and be ready to discuss in class ::Binge eating disorder DO NOT Respond.

  4. What types of medical complications can arise from these eating disorders?

Thecondition arisisng from eating disorders include, they include highblood pressure, elevated cholesterol levels, and heart disease as aresult of extreme triglyceride degrees.

  1. Do patients with eating disorders have a high incidence of other psychiatric disorders? if so what types?

Theeating disorders result in severe mental illness and arebiologically-based. Scientific and cerebral evidence portray thatbulimia and anorexia nervosa are as heritable as other psychiatricconditions, for instance, schizophrenia and depression (Stuart,2014).

  1. If you were assigned a patient with a suspected eating disorder, list four nursing assessment questions you would ask a patient suspected of an eating disorder.

Iwould assess whether the patient has undergone self-induced vomitingor periods of skipped meals? Then I check if the client has eversuffered from the same disease before or any member of the immediatefamily?

  1. When completing a physical assessment on a patient with an eating disorder what aspects would you include?

Aspectsthat a physician should include in physical assessment for a patientwith eating disorders may consist of the general appearance of aperson, the vital signs, and gastrointestinal system (Stuart,2014).

  1. What medical complications or lab abnormalities would you anticipate with a patient with a suspected eating disorder of anorexia, bulimia and excess weight after completing a physical exam?

Someof the lab abnormalities I would anticipate a patient suspected witheating disorders include having an imbalanced nutrition that is lessthan the body requirements, the risk of electrolyte and fluidimbalance, activity intolerance and self-concept disturbances(Stuart,2014).

  1. Review the material in the ATI book on pg 165 objective data. List two items that you were not aware of .

Afterreviewing the ATI list, I discovered that I was not aware of thecardiovascular and the musculoskeletal system.

  1. In that same section- be familiar with the mental status findings and list two items you did not know.

Inthe mental status findings, I was not well acquainted withcatastrophizing and all-or-nothing thinking.

  1. Many people with eating disorders experience cognitive distortions related to maladaptive eating. Do you have any cognitive distortions in your life? Identify one and be ready to discuss it in class. Be familiar with the ones listed in the textbooks.

Ihave one cognitive distortion like overgeneralization that is,feeling that I am not attractive to other people because of my largebody size. I am also terrified of gaining weight.

  1. If your patient arrives in the ED, what criteria would you used to determine if hospitalization is necessary? In other words: How do you know if acute treatment (meaning hospitalization) is necessary for a person with an eating disorder?

Hospitalizationfor a patient arriving in the ED may be required in case ofcomplications such as an imbalance of the electrolyte. In addition,irregular heart rhythm, severely underweight, and dehydration may beclear symptoms to necessitate hospitalization (Stuart,2014).

  1. Review the nursing diagnosis for eating disorders and list one that you want to further discuss in class.

Afterreviewing the diagnosis for the eating disorder I would wish todiscuss the imbalance nutrition nursing during the class session.

  1. What is the goal for that Nursing diagnosis?

Thegoal of nursing diagnosis is to establish adequate or appropriatenutrition intake.

  1. List three interventions that you would implement if working with this patient.

Interventionswhile working with a patient with disorder may include assessing theextent of the situation, dietary modification and educating theclient (Stuart,2014).

  1. Are there any medications work best with eating disorders? What would you tell your patient?

Medicationscomprising of antidepressants may assist in treating binge. Examplesinclude fluoxetine and sertraline. Others consist of Wellbutrin,Prozac, and Effexor.

  1. Is family involvement important for eating disorder patients? Yes or no. Explain your reasons briefly.

Familyinvolvement is important during the treatment of a client with eatingdisorder since the medical history of the members need to be assessedto treat the condition.


Stuart,G. W. (2014). Principlesand practice of psychiatric nursing.Elsevier Health Sciences.