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Mental Health > Chapter 18: Eating and Feeding Disorders > Flashcards

Chapter 18: Eating and Feeding Disorders Flashcards

1
Q

are these patients inpatient

A

yes but normally not for these diagnoses alone

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2
Q

3 main eating diagnoses

A

anorexia nervosa
bulimia nervosa
binge eating disorder

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3
Q

anorexia nervosa
- intense fear of

A

gaining weight

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4
Q

anorexia nervosa
- weight

A

underweight

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5
Q

anorexia nervosa
- experience significant differences in

A

sensation of taste
appetite
satiety

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6
Q

anorexia nervosa
- maladaptive behaviors

A

restriction and purging

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7
Q

purging

A

this is a type of compensatory behavior
ex: self induced vomiting, excessive exercise, laxative use, enemas, diutretics, stimulants, thyroid medications

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8
Q

anorexia nervosa
- two types

A

restricting
binge eating/purging

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9
Q

anorexia nervosa
- restricting type

A

NOT engaged in recurrent episode of binge eating or purging behavior

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10
Q

anorexia nervosa
- binge eating/purging

A

engaged in recurrent episodes or binge eating or purging behavior

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11
Q

anorexia nervosa
- begins when

A

adolescence or young adult

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12
Q

anorexia nervosa
- cognitive factors

A

learned behavior with positive reinforcement, defense against ineffectiveness and powerlessness
ex: comments about weight loss, surrounded weight loss from mother or father

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13
Q

anorexia nervosa
- amenorrhea

A

loss of mental cycle

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14
Q

anorexia nervosa
- body dismorphia?

A

yes

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15
Q

anorexia nervosa
- lab testing

A

Na, pre albumin, albumin, iron,

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16
Q

anorexia nervosa
- lack of albumin causes what

A

edema

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17
Q

anorexia nervosa
- hypercarotenemia

A

increase carotene in blood (high vit c)
body not flushing vitamins so it builds up in tissues

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18
Q

anorexia nervosa
- lanugo

A

fine body hair

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19
Q

anorexia nervosa
- nursing diagnoses

A

more based on medically stable
ex: imblanaced nutrition, decreased cardiac output, electrolyte/fluid imbalance

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20
Q

anorexia nervosa
- referring syndrome

A

lethal complications may result in
fluid balance abnormalities
abnormal glucose metabolism
hypophosphatemia
hypomagnesium
hypokalemia
thiamine deficiency

body cannot handle workload of increase food

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21
Q

anorexia nervosa
- avoid referring syndrome

A

reintroduction of nutrients slowly to avoid this

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22
Q

anorexia nervosa
- commonn traits

A

perfectionism
obsessive thoughts

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23
Q

treatment for this is very or not very specialized

A

yes it is very

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24
Q

anorexia nervosa
- therapy

A

integrative medicine (yoga, massage, acupuncture)
insight oriented individual therapy
adolescent focused therapy
family therapy
cognitive behavioral therapy

25
Q

anorexia nervosa
- pharm

A

co occurring disorders
- SSRI
- antianxitey
- second gen
- mood stabilizers

26
Q

anorexia vs anorexia nervosa

A

anorexia is loos of appetite
nervosa is the eating disorder

27
Q

bulimia nervosa
- weight

A

near normal body weight

28
Q

bulimia nervosa
- definition

A

recurrent episodes of binge eating
recurrent inappropriate compensatory behavior

29
Q

bulimia nervosa
- age

A

later adolescence to adulthood

30
Q

bulimia nervosa
- environmental factors

A

internalization of a thin body ideal
bullying

31
Q

bulimia nervosa
- mood when eating when stopped

A

increased mood when eating
decreased mood when stopped

32
Q

bulimia nervosa
- generally does what when binge is over

A

vomit and sleep

33
Q

binge eating

A

large volume
eating outside for comfort

34
Q

bulimia nervosa
- lab

A

glucose
K
NA
Mag
EKG
dehydration
laxative use
albumin/pre

35
Q

bulimia nervosa
- physical signs

A

enlarged parotid glands
dental erosin/caries
doesn’t look ill
callouses on hands

36
Q

bulimia nervosa
- why do we ask how to induce vomiting

A

so we know triggers

37
Q

bulimia nervosa
- interventions

A

interrupt destructive cycles

38
Q

bulimia nervosa
- pharm

A

antidepressants
- fluoxetine

39
Q

bulimia nervosa
- therapy

A

CBT
DBT
interpersonal therapy
acceptance and commitment therapy

40
Q

bulimia nervosa
- first line therapy

A

CBT

41
Q

binge eating
- defintion

A

eating in discrete period of time an amount of food that is definitely larger than what most people eat

42
Q

binge eating
- control

A

sense of lack control over eating during the episode

43
Q

binge eating
- distress

A

marked distress over binge eating

44
Q

binge eating
- periodically or once time

A

periodically

45
Q

binge eating
- why is prevalence higher

A

harder to hide
people seek change

46
Q

binge eating
- symptoms

A

GI symptoms
obesity
heartburn
dysphagia
bloating
abdominal pain
diarrhea
constipation

47
Q

binge eating
- impaired nutritional intake…

A

more than body requirements

48
Q

binge eating
- this is not about food this is about

A

coping with emotion

49
Q

binge eating
- therapy

A

CBT/DBT
interpersonal therapy

50
Q

binge eating
- pharm

A

SSRI
SNRI (duloxetine, venlafaxine)
TCA
anti epileptics
appetite suppressants
lisdexamfetamine (Vyvanse)

51
Q

binge eating
- surgery

A

bariatric surgery

52
Q

binge eating
- weight

A

obese

53
Q

feeding disorders

A

pica
rumination
avoidant/restrictive food intake

54
Q

pica

A

eating nonfood items past toddlerhood

55
Q

pica can be in pregnancy due to

A

lack or iron

56
Q

rumination

A

regurgitation with reviewing, reswallowing, or spitting

57
Q

rumination common in

A

dementia

58
Q

avoidant.restrictive food intake

A

starts in childhood
Low BMI
no distorted body image
personal or family anxiety

59
Q
A

Mental Health (81 decks)

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