Addie, age 15, is brought to the school nurse after fainting during gym class. She is grossly underweight, wears baggy clothes, and has dry skin. She complains of feeling cold despite wearing two sweaters. As the nurse examines her perfunctorily, she notices that Addie’s skin seems slightly yellow, and a gentle scrape of her skin shows signs of dehydration.

1. Based on the findings, what is the likely diagnosis?
2. What are contributing factors?
3. What would be an appropriate treatment plan? (Include possible medications, interventions, etc.).
4. List one short term and one long term goal for this client.