assignment chapter 18 case study diets for disease prevention

Ch 18 - Case Study: Diets for Disease Prevention

The physician discusses with Ellen that there might be a higher risk for certain cancers as a result of her weight. These include all of the following EXCEPT a. Colon cancer b. Breast cancer c. Endometrial cancer d. Lung cancer e. Esophageal cancer

cancerd. Lung cancer

To decrease her risk of cardiovascular disease, Ellen should do all of the following EXCEPT: a. Limit saturated fat to less than 7 percent of daily kcalories. b. Limit trans fats to less than 1 percent of daily kcalories. c. Limit cholesterol to less than 200 milligrams per day. d. Limit sodium intake to less than 2500 milligrams per day. e. If consumed, have no more than two alcoholic beverages per day if male, and one if female

d. Limit sodium intake to less than 2500 milligrams per day.

Ellen's doctor also orders a lipid profile and reviews the results in conjunction with the results of her history and physical examination. Which of the following does NOT constitute a high risk for heart disease? a. Total blood cholesterol of 240 mg/dL. b. LDL cholesterol of 190 mg/dL c. HDL cholesterol of 37 mg/dL d. Triglycerides of 200 mg/dL e. Fasting plasma glucose 95 g/dL

e. Fasting plasma glucose 95 g/dL

Prior to gaining 15 pounds over the last six months, Ellen was _____ which is associated with _______, an underlying cause of most other chronic diseases.

obese; chronic inflammation

Which is a risk factor for chronic diseases based on Ellen's current diet and lifestyle?

Low intake of fiber and phytochemicals

All of the following are modifiable risk factors for cardiovascular diseases EXCEPT: a. High triglycerides. b. Hypertension. c. Physical inactivity. d. Osteoporosis. e. Atherogenic diet.

Osteoporosis.

A few weeks after Ellen started medication to lower her blood pressure, she remembers feeling weakness, numbness, cramps, irregular heartbeats, and excessive thirst and urination. These are likely signs of:

Potassium imbalance

Ellen's doctor encourages her to reduce her risk of developing type 2 diabetes by making some lifestyle changes. All of the following diet and lifestyle changes associated with reducing risk of diabetes except: a. Lose weight. b. Increase physical activity. c. Replace frozen desserts with fruit options. d. Stop smoking. e. Drink water in place of soda

Stop smoking

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Case Study Chapter 18 - assignment

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Chapter 18 Eating and Feeding Disorders Alicia, a 16-year-old high school student, was diagnosed with anorexia nervosa 2 years ago. Over those 2 years, she has required multiple hospital admissions for dehydration, malnutrition, and electrolyte imbalance. During these hospitalizations, it was established that Alicia has a history of self-starving and also exercising excessively to reduce her weight to less than 75% of her normal weight. According to her mother Joan, Alicia has always been “harder on herself than anyone should be.” She has always been an overachiever who is dissatisfied with anything less than perfect. Joan says that unlike her other children, Alicia is “wound very tight, almost obsessive, and has to do everything herself.”

Last week, Alicia was hospitalized again after she fainted during gym class. Since her admission, she has worked with a psychotherapist to identify some healthier coping strategies and behaviors. The therapist suggested that Alicia sign a contract, agreeing that she will follow certain agreed-upon behaviors. Now that she is about to be released from the hospital, an advanced-practice nurse, Eileen, is brought in to plan her after-care. The first thing Eileen suggests is that she and Alicia create a contract.

Alicia is frustrated. “Another contract?” she says. “This is so stupid! I already did a contract in the hospital! Why should I have to start over again?”

“You’re not starting over,” Eileen says. “This is a new contract for a new phase of your ongoing wellness plan.”

“All this controlling structure,” Alicia says. “I feel like I’m being babied.” She sits back in her chair, looking miserable.

What sort of “contract” do you think Eileen wants Alicia to sign at this time? What would it include?

Alicia complains that having a contract is “controlling.” Do you think an eating contract is an effective treatment intervention for Alicia? Why or why not? Considering what you have read about Alicia’s personality, how might establishing a contract with her be particularly valuable?

• Multiple Choice

Course : Mental Health (NUR 115)

University : care hope college.

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