Examples of therapeutic communication techniques

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Reference no: EM133865102

Case Study:

J.D. is a 16-year-old female that recently transferred to a new high school after her family moved from out of state. This is her fourth residence and school change in the last 6 years. J.D.'s father is in the army and recently returned home after a tour in Iraq for 9 months. J.D. has been restricting her food intake for the last 18 months. She is 5'6" tall and weighs 98 pounds. She participates in the dance team at school and is an honor roll student. The school nurse observes that J.D. frequently eats only a single piece of fruit during lunch. Also, the nurse is concerned that J.D. appears fatigued during dance team practices. J.D. is very thin and fragile in appearance.

1) What medical diagnosis does the school nurse suspect J.D. is experiencing? What leads the school nurse to that conclusion?

2) What are risk factors for developing an eating disorder (include personal, family, and sociocultural aspects)? Which risk factors apply to J.D.?

3) What are expected clinical manifestations of anorexia nervosa? Include physical, psychological, and behavioral symptoms.

4) What is the first intervention that the school nurse should implement with J.D.?

5) What are some examples of therapeutic communication techniques?

6) After talking with J.D. and developing a rapport, J.D. reports to the nurse, "I have been thinking that life is not worth living anymore and I feel hopeless all the time." What should the school nurse do next?

7) J.D. is brought to the Emergency Department for evaluation. What lab values does the ED nurse anticipate the doctor to order?

8) J.D. is admitted to the inpatient behavioral health unit. The admission nurse is setting up her treatment plan. List three nursing diagnoses that would apply for J.D. and number them by level of importance. What was your reasoning for prioritizing?

9) What nursing interventions should be part of J.D.'s care plan? What medications might be prescribed?

10) What are treatment goals for J.D.?

Reference no: EM133865102

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