Ch 22 Eating Disorders

Question 1

what neurotransmitters are common in eating disorders

Answer 1

serotonin and norepinephrine dysfunction

Question 2

what is the appetite regulation center

Answer 2

hypothalamus

Question 3

eating behavior is influenced by what

Answer 3

society and culture

Question 4

what is the epidemiology of anorexia nervosa

Answer 4

women 12-30 yrs

in US about 1% of women

Question 5

what is the epidemiology of bulimia nervosa

Answer 5

more prevalent than anorexia
about 4% of women
onset is adolescence
prevalent in thin societies

Question 6

what is obesity defined as

Answer 6

BMI > 30

Question 7

what percent of adult Americans are overweight

Answer 7

68.5%

Question 8

what percent of Americans are in the obese rage

Answer 8

35%

Question 9

this is the morbid fear of obesity

Answer 9

anorexia nervosa

Question 10

what is amenorrhea

Answer 10

abnormal absence of menstruation, prevalent in anorexia pts

Question 11

describe symptoms of anorexia nervosa

Answer 11

gross distortion of body image, preoccupation with food, refusal to eat, weight loss is extreme, hypothermia, bradycardia, hypotension, edema, lanugo, metabolic issues

Question 12

what feelings are common in anorexia

Answer 12

depression and anxiety

Question 13

what is the body weight percent decrease in an individual with anorexia

Answer 13

> 15% of expected weight

Question 14

this is episodic, uncontrolled ingestion of large quantities of food followed by inappropriate compensatory behaviors to rid body of excess calories

Answer 14

bulimia nervosa

Question 15

what are examples of behaviors to rid body of excess calories

Answer 15

self induced vomiting, misuse of laxatives, diuretics, or enemas

Question 16

symptoms of bulimia

Answer 16

fasting/excessive exercise, depression, anxiety,

Question 17

what do excessive diuretics or vomiting cause

Answer 17

dehydration and electrolyte imbalance

Question 18

what is the weight of bulimia pts

Answer 18

within normal range is most common

underweight or over weight

Question 19

DSM 5 identifies BED as a disorder that can lead to

Answer 19

obesity

Question 20

individual binges a large amount of food but does NOT engage in behaviors to rid body of excess calories

Answer 20

Binge Eating Disorder (BED)

Question 21

predisposing factors

Answer 21

genetics, neuroendocrine abnormalities, neurochemical influences, disturbances in mother-infant interactions, family influences

Question 22

normal weight BMI

Answer 22

20-24.9

Question 23

obesity BMI

Answer 23

greater than or equal to 30

Question 24

anorexia BMI

Answer 24

less than or equal to 17

15 is extreme

Question 25

nursing diagnoses for eating disorders

Answer 25

imbalanced nutrition, deficient fluid volume, ineffective denial, disturbed body image, anxiety

Question 26

when is hospitalization necessary for eating disorders

Answer 26

malnutrition, dehydration, electrolyte imbalance, cardiac arrhythmia, severe bradycardia, hypothermia, hypotension, suicidal ideation

Question 27

treatment for eating disorders

Answer 27

behavior modification, individual therapy, family therapy, psychopharmacology

Question 28

pharmacology for eating disorders

Answer 28

no meds for eating disorders

prescribed for associated symptoms like anxiety and depression

Question 29

what drugs sometimes work for anorexia

Answer 29

prozac

zyrexa

Question 30

what drugs sometimes work for bulimia

Answer 30

prozac

nardil

Question 31

what drugs sometimes work for BED

Answer 31

topamax

Question 32

what drugs sometimes work for obesity

Answer 32

prozac
belviq
qsymia