Case Study 145 Anorexia Case Study (Winningham’s) Answer Key
1. Using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria, how is
the diagnosis of anorexia nervosa determined?
• Restriction of energy intake relative to requirements leading to a significantly low body weight in
the context of age, sex, developmental trajectory, and physical health
• Intense fear of gaining weight or becoming fat, even though underweight
• Disturbance in the way in which one's body weight or shape is experienced, undue influence of
body weight or shape on self-evaluation, or denial of the seriousness of the current low body
weight
2. Identify eight clinical signs or symptoms of anorexia nervosa. Place a star or asterisk next to those that
J.M. has.
• Emaciated and malnourished appearance*
• Hypotension (She has been blacking out, which can indicate hypotension. No vital signs were
provided, but students might star this item.)
• Dysrhythmias, bradycardia
• Pale conjunctivae and mucous membranes
• Poor skin turgor and muscle tone
• Peripheral edema
• Excessive hair loss and dryness*
• Cold extremities*
• Lanugo
• Yellow skin
• Amenorrhea
• Headaches, sore throat, vague physical complaints
• Chronic urinary tract infections
• Constipation
• Memory deficits
• Fatigue
• Insomnia
• Depressed immune system
• Obese or overweight person: electrolyte imbalance, hypothermia, weight
loss of more than 2 pounds per week, perception of being obese despite
weight loss
3. What other disorders might occur along with anorexia nervosa? Name at
least four.
This study source was downloaded by 100000839495789 from CourseHero.com on 03-06-2022 14:02:46 GMT -06:00
• Major depression
, https://www.coursehero.com/file/47387167/Case-Study-145•-APnoosrettxiraa-Cuamse-aStitucdysdtorcex/ss disorder (PTSD) or other anxiety
disorders
1. Using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria, how is
the diagnosis of anorexia nervosa determined?
• Restriction of energy intake relative to requirements leading to a significantly low body weight in
the context of age, sex, developmental trajectory, and physical health
• Intense fear of gaining weight or becoming fat, even though underweight
• Disturbance in the way in which one's body weight or shape is experienced, undue influence of
body weight or shape on self-evaluation, or denial of the seriousness of the current low body
weight
2. Identify eight clinical signs or symptoms of anorexia nervosa. Place a star or asterisk next to those that
J.M. has.
• Emaciated and malnourished appearance*
• Hypotension (She has been blacking out, which can indicate hypotension. No vital signs were
provided, but students might star this item.)
• Dysrhythmias, bradycardia
• Pale conjunctivae and mucous membranes
• Poor skin turgor and muscle tone
• Peripheral edema
• Excessive hair loss and dryness*
• Cold extremities*
• Lanugo
• Yellow skin
• Amenorrhea
• Headaches, sore throat, vague physical complaints
• Chronic urinary tract infections
• Constipation
• Memory deficits
• Fatigue
• Insomnia
• Depressed immune system
• Obese or overweight person: electrolyte imbalance, hypothermia, weight
loss of more than 2 pounds per week, perception of being obese despite
weight loss
3. What other disorders might occur along with anorexia nervosa? Name at
least four.
This study source was downloaded by 100000839495789 from CourseHero.com on 03-06-2022 14:02:46 GMT -06:00
• Major depression
, https://www.coursehero.com/file/47387167/Case-Study-145•-APnoosrettxiraa-Cuamse-aStitucdysdtorcex/ss disorder (PTSD) or other anxiety
disorders
