A nurse is assisting with providing an educational program about eating disorders to the local community. The nurse should include that which of the following groups has an increased risk for developing an eating disorder?

A. Analysis/diagnosisinvolves interpreting assessment data to identify actual or potential health problems and formulating nursing diagnoses. This phase occurs earlier in the nursing process, before interventions are implemented, and is focused on understanding the client’s needs rather than assessing outcomes.

B. Planningis the phase in which the nurse develops measurable goals and selects interventions to address the client’s needs. Planning occurs before implementing actions, not after interventions have already been carried out.

C. Implementationinvolves carrying out the nursing interventions identified in the planning phase, such as medication administration, education, or support group referrals. While the client has already been participating in interventions, the nurse’s discussion of effectiveness is not part of the implementation phase.

D. Evaluationis the phase in which the nurse determines the effectiveness of nursing interventions and the client’s progress toward established goals. By reviewing the client’s follow-up appointments, adherence to medication, and participation in support groups, the nurse assesses whether the interventions are producing the desired outcomes and determines if adjustments to the care plan are needed.

A. The child appearing withdrawn, avoiding eye contact, and looking down can be a behavioral manifestation seen in cases of factitious disorder imposed on another (previously called Munchausen syndrome by proxy). Children may appear fearful, anxious, or emotionally subdued, especially when the caregiver is present.

B. Multiple hospitalizations over a short period of time (seven in 6 months) with no clear medical diagnosis is a major red flag. Repeated healthcare visits, extensive testing, and frequent admissions without objective findings are classic indicators of factitious disorder imposed on another.

C. Unexplained abdominal pain with repeated negative evaluations is consistent with fabricated or induced symptoms. In this scenario, providers have been unable to find a medical cause despite ongoing complaints.

D. Excessive thinking about health is more characteristic of somatic symptom disorder or illness anxiety disorder. In factitious disorder imposed on another, the caregiver is typically focused on portraying the child as ill, not necessarily expressing anxiety about their own health thoughts.

E. Recent trauma is not identified in the scenario and is not a defining manifestation of factitious disorder. Trauma may contribute to other psychiatric conditions but is not a diagnostic feature here.