10 -14

Question 1

evidence-based treatment option for clients with anxiety and OCD-related disorders that focuses on identifying, challenging, and neutralizing unhelpful thoughts

Answer 1

cognitive behavioral therapy

Question 2

cortisol’s realtionship to stress

Answer 2

helps to supply cells with amino and fatty acids for energy and diverts glucose from muscles to the brain to maintain vigliance

Question 3

why is refeeding stage potentially deadly
potential complications

Answer 3

body shifts from a catabolic (state of breaking down tissues for nutrients) state to an anabolic (state of rebuilding tissues/growth) state, causing a shift in fluids and electrolytes

heart failure
arrhythmias
respiratory failure
muscle breakdown
death

Question 4

ED Assessment SCOFF stands for:

Answer 4

Sick: do you make yourself sick or vomit after a meal because you feel uncomfortably full?
Control: do you feel loss of control over how much you eat
One Stone: has the pt lost 14lbs in a 3-month period?
Fat: do you believe you are fat even when others tell you that you are too thin?
Food: does food dominate your life?

Question 5

Anorexia Nervosa assessment guideline:
Safety is priority concern- what do I determine
what to assess

Answer 5

-if medical or psychiatric condition warrants hospitalization
-if there are additional medical complications
-if there are additional psychiatric comorbidities, esp suicidal ideation and risk for self-harm

assess:
-pt’s level of insight about the disordered eating and feeling regarding weight
-pt’s and pts family’s understanding about the disease, therapeutic goals, and treatment plan

Question 6

ED Nursing outcome: BN

Answer 6

-obtain and maintain normal electrolyte balance and stable VS
-refrain from binge-purge behaviors and suicidal ideation/behaviors
-demonstrate at least two new skills for managing stress/anxiety/shame in a non-food-related way
-no longer demonstrate high levels of anxiety related to fear of gaining weight
-demonstrate improved self-esteem by naming two personal strengths
-verbalize a desire to participate in ongoing treatment

Question 7

ED Nursing outcomes: AN

Answer 7

-refrain from suicidal behaviors or self-harm
-normalize eating patterns by eating 75% of three meals per day plus two snacks
-achieve 85% to 90% of ideal body weight
-be free of physical complications

Question 8

Cluster C:
a
p
o
d

Answer 8

avoidant
passive-aggressive
obsessive-compulsive
dependent

Question 9

Cluster B:
b
a
h
n

Answer 9

borderline
antisocial
histrionic
narcissistic

Question 10

Cluster A:
p
s
s

Answer 10

paranoid
schizoid
schizotypal

Question 11

magical thinking
aloof and isolated
metaphoric speech

Answer 11

schizotypal

Question 12

suspicious
cold
humorless

Answer 12

paranoid

Question 13

few friends; inability to establish relationships
loner; emotionally cold
indifferent to praise, criticism

Answer 13

schizoid

Question 14

self-destructive
impulsive
erratic emotions; instability; impulsive
sexual; unstable and sexual relationships
extreme intensity
always in a crisis

Answer 14

borderline

Question 15

breaks laws
no remorse or guilt
appears friendly on surface

Answer 15

antisocial

Question 16

impulsive
false emotions
dramatic
inappropriate sexual behavior
center of attention

Answer 16

histrionic

Question 17

can’t apologize
grandiose
exploit others to fulfill own needs
emotions are not erratic

Answer 17

narcissistic

Question 18

lack of confidence

Answer 18

dependent

Question 19

social withdrawl
awkward and uncomfortable in social situations

Answer 19

avoidant

Question 20

perfectionist
preoccupied with details, rules, schedules

Answer 20

obsessive-compulsive

Question 21

forceful
stubborn
dependent on others

Answer 21

passive-aggressive

Question 22

If pt has Personality Disorder their behavior would look like:

Answer 22

inflexible and unpredictable
coping strategies primitive and immature
maladaptive patterns of behavior, lack of insight about these patterns of behavior contribute to distress, and tendency to blame others

Question 23

which type of anxiety:
occurs in normal experiences of everyday living; pt sees, hears,and grasps more information and problem solving

Answer 23

mild anxiety

Question 24

which type of anxiety:
person’s perceptual field narrows, leading to selective inattention
ability to think clearly is somewhat hampered but learning and problem-solving can still take place
signal that something in a person’s life needs attn

Answer 24

moderate anxiety

Question 25

which type of anxiety:
perceptual field of a persons is greatly reduced
overly focused on one particular detail or may attend to superficial, scattered details, difficulty noticing events occurring in the environment, learning and problem solving are greatly affected
behavior tends to be automatic and aimed at reducing or relieving anxiety

Answer 25

severe anxiety