Chapter 14 - Unit 4 Flashcards
Anorexia - def
Intense, irrational beliefs about their weight. Self starvation happens here!
Bulimia - what happens here?
binging and purging.
Binge eating disorder - def
repeated episodes of binge eating, consuming large amounts of calories, and then they become distressed.
Eating disorders are almost always comorbid with other psychiatric illnesses. T/F?
True!
For people with anorexia nervosa, how is it linked to maturation?
A lot of women with anorexia are afraid of sexual maturation. Since anorexia causes amennorhea, etc, it plays a part in this!
As a nurse, we should take a parental role in patient’s with anorexia and such. T/F?
FALSE, we should not.
Anorexia - what are some clinical signs?
Cachectic (severely underweight with muscle wasting) and lanugo (growth of fine, downy hair on the face and back).
Individuals with the binge-purge type of anorexia might also have swollen parotid glands.
What do we want to do first for a patient who is very sick and unstable with anorexia?
Stabilize them!
What is refeeding syndrome?
This is when the demands of a replenished circulatory system overwhelm the capacity of a nutritionally depleted cardiac muscle, resulting in cardiovascular collapse.
What is overgeneralization?
It’s when a single event affects unrelated situations. Like, “he didn’t ask me out. Must be because I’m fat.”
What is all-or-nothing thinking?
Reasoning is absolute and extreme. It’s black and white. “If I have one popsicle, I must eat five.”
What is catastrophizing?
The consequences of an event are magnified. “If I gain weight, my weekend will be ruined.”
Personalization - what is it?
Events are overinterpreted as having personal significance. “I know everybody is watching me eat.”
What is emotional reasoning?
Subjective emotions determine reality. “I know I’m fat because I feel fat.”
When hospitalized, we want to worry about what caused the problems for the patient. T/F?
False - that is usually done in an outpatient setting.