imbalanced Nutrition: less than body requirements may be related to psychological restrictions of food intake and/or excessive activity, self-induced vomiting, laxative abuse, possibly evidenced by weight loss, poor skin turgor/muscle tone, denial of hunger, unusual hoarding or handling of food, amenorrhea, electrolyte imbalance, cardiac irregularities, hypotension.

risk for deficient Fluid Volume: risk factors may include inadequate intake of food and liquids, chronic/excessive laxative or diuretic use, self-induced vomiting.

disturbed Thought Processes may be related to severe malnutrition/electrolyte imbalance, psychological conflicts; possibly evidenced by impaired ability to make decisions, problem-solve, nonreality-based verbalizations, ideas of reference, altered sleep patterns, altered attention span/distractibility; perceptual disturbances with failure to recognize hunger, fatigue, anxiety, and depression.

disturbed Body Image/chronic low Self-Esteem may be related to altered perception of body, perceived loss of control in some aspect of life, unmet dependency needs, personal vulnerability, dysfunctional family system, possibly evidenced by negative feelings, distorted view of body, use of denial, feeling powerless to prevent/make changes, ex¬pressions of shame/guilt, overly conforming, dependent on others’ opinions.

interrupted Family Processes may be related to ambivalent family relationships and ways of transacting issues of control, situational/maturational crises, possibly evidenced by enmeshed family, dissonance among family members, family developmental tasks not being met, family members acting as enablers.