Chapter 26 : Eating disorders

Question 1

The following flashcards are going to be about eating disorders from the study guide and the powerpoint lecture he has posted up on blackboard

Question 2

Before we begin, what are the 5 stages of Maslow hierarchy of basic human needs?

Answer 2

1. physiological needs
2. security and safety
3. love and belonging
4. self esteem
5. self actualization

Question 3

who is more likely to develop an eating disorder between the two genders?

Answer 3

female

Question 4

What is anorexia nervosa?

Answer 4

refusal to maintain body weight at or above a minimally normal weight for age and height
( less than 85% of expected )

Question 5

usually patients who are diagnosed with anorexia nervosa have and intense fear of?

Answer 5

gaining weight or becoming fat

Question 6

patients with anorexia nervosa typically have a disturbance in what?

Answer 6

in the way in which body weight or shape is viewed

Question 7

when a patient who has anorexia nervosa typically is told about the consequences of having a low body weight, they usually tend to be in what?

Answer 7

denial about it

Question 8

what are the two types of anorexia nervosa?

Answer 8

restricting
binge eating/purging

Question 9

typically according to the study guide, patients who are diagnosed with anorexia nervosa have a high mortality rate due to what complication ?

Answer 9

cardiopulmonary arrest

Question 10

patients with anorexia nervosa, their weight is about ___% less than of normal

Answer 10

85

Question 11

what does restricting mean for a patient who has anorexia nervosa?

Answer 11

literally starving themselves, the restriction of consuming food

Question 12

what does binge eating/purging mean for a patient who has anorexia nervosa?

Answer 12

will consume and then vomit it after

Question 13

what does bulimia nervosa mean?

Answer 13

recurrent episodes of binge eating with the lack of control to stop eating

Question 14

what does binge eating typically mean overall?

Answer 14

self induced vomiting ; misuse of laxatives, diuretics, enemas, or other medications, fasting or excessive exercise

Question 15

what are the two types of bulimia nervosa ?

Answer 15

purging and non-purging

Question 16

what is the difference between purging and non purging for a patient with bulimia nervosa?

Answer 16

purging - vomiting or use of laxatives, diuretics or emetics

non-purging - overexercising or fasting

Question 17

typically patients who are diagnosed with bulimia nervosa, we understand they like to binge eat and then purge.

typically what is their mood when eating ?
what is their mood after finishing eating?
and when purging is done, what occurs?

Answer 17

increased
decreased
they usually go to sleep

Question 18

the following terms you are going to have to diagnose which is which.
anorexia or bulimia behaviors

denies abnormal eating behavior
recognizes abnormal eating behavior

turns to food to cope
turns away food in order to cope

preoccupation with attaining an ideal but often unrealistic weight
preoccupation with losing more and more weight

more prevalent
earlier onset

higher mortality

Answer 18

anoreixa
bulimia

bulimia
anorexia

bulimia
anorexia

bulimia
anoreixa

anorexia

Question 19

what is binge eating disorder ?
- dont get confused

is this the most common eating disorder?

typically seen in what ages ?

with increase in weight gain, it causes increase risk for what 2 conditions ?

Answer 19

eating large amount of food over a short period of time

yes

44-55 adults

Diabetes mellitus and hypertension

Question 20

notes
nursing care for eating disorder patients

Assess eating habits, perception of issue, methods of weight control, impulsivity, self-esteem, family relationships, bullying
Rule out other medical problems
Vital Signs, Weight, and Height
Labs (Electrolytes, CBC, Liver enzymes, T3/T4, urine)
Integumentary System (lanugo)
Cardiovascular System
Musculoskeletal System
Reproductive System
Check hands (Russell’s Sign) and teeth

Question 21

notes
nursing interventions
Focus on safety and trust
Highly structured milieu
Positive reinforcement
“Food is Medicine”
Encourage decision making and allow some control
Establish realistic goal for weight

Question 22

what medication do we usually give to patient with bulimia ?

Answer 22

SSRI (prozac)

Question 23

what is the treatment typically looking like for patients with anorexia?

Answer 23

hospitalization for refeeding

Question 24

typically for patients who come into the hospital with bulimia or anorexia, what is the first thing we do ?

Answer 24

feed them!

Question 25

what is the diet usually consistent of for eating disorders? ( hospital setting )

Answer 25

small frequent, low sodium, high fiber meals

Question 26

when we are weighing a patient how do we want to do it ?

Answer 26

blind weights

Question 27

typically what are the complications that can occur with patients with bulimia have?

Answer 27

electrolyte imbalance
acid-base imbalance
chronic vomiting

Question 28

what is the Russells sign for patient with bulimia can have?

Answer 28

calluses on the knuckles or back of the hands due to repeatedly inducing vomiting

Question 29

in the study guide, it also mentions something called pica and what is it?

Answer 29

persistent eating of non-nutrivie food and non-food substances

food - cornstarch, baking powder
non-food - clay, soils

Question 30

typically pica can be found in which patients ?

Answer 30

children, pregnant women, autism

Question 31

pica is often associated with what ?

Answer 31

iron and zinc deficiency

Question 32

patients with anorexia or bulimia can have something called re-feeding syndrome, which occurs from the constant re-feeding we have to do to try to get them to a normal weight.

what are the two conditions that can develop from this ?

Answer 32

esophageal varicosities
aspirations pneumonia