Eating Disorders

Question 1

A client with which Eating Disorder has a distorted body image ?

Answer 1

Anorexia Nervosa

Question 2

How does a client with Anorexia Nervosa see themselves ?

Answer 2

The client sees an overweight person when looking in the mirror, regardless of their actual size

Question 3

Signs/Symptoms: Anorexia Nervosa

Client’s with Anorexia Nervosa are __________ with food, but won’t eat

Answer 3

Preoccupied

Question 4

Signs/Symptoms: Anorexia Nervosa

what health problems are common in client’s with Anorexia Nervosa ?

Answer 4

Dehydration & Electrolyte Imbalances

Question 5

Bradycardia (HR < 60 ) and hypotension (BP < 90/50mmHg) are very common in what clients ?

Answer 5

Clients with Anorexia Nervosa who are less than 80% of ideal body weight

Question 6

In clients with Anorexia Nervosa, what are the Bradycardia and Hypotension due to ?

Answer 6

Bradycardia –> D/t an overactive parasympathetic nervous system, in the body’d attempt to conserve energy

Hypotension –> D/t the weakened heart muscle related to the malnutrition

Question 7

Signs/Symptoms: Anorexia Nervosa

Do Anorexic clients loose weight ?

Answer 7

Yes

Question 8

Signs/Symptoms: Anorexia Nervosa

In Anorexic client’s what stops d/t malnutrition ?

Answer 8

Menses stop

may have Lanugo on back and face
- (lanugo = typically seen on newborns)

Question 9

In a client with which Eating Disorder is decreased sexual development seen ?

Answer 9

Anorexia Nervosa

Question 10

Signs/Symptoms: Anorexia Nervosa

Why is Hypothermia a symptom in clients with anorexia nervosa ?

Answer 10

D/t loss of subcutaneous tissue

Question 11

Signs/Symptoms: Anorexia Nervosa

Clients with Anorexia Nervosa are what ?

Answer 11

High achievers & perfectionists

Question 12

Signs/Symptoms: Anorexia Nervosa

What are personality traits of client’s with Anorexia Nervosa ?

Answer 12

• Perfectionism
• Obsessive thoughts & actions related to food
• Intense feeling of shame
• People pleasers

Question 13

Signs/Symptoms: Anorexia Nervosa

Client’s with anorexia nervosa want complete control over what ?

Answer 13

Their therapy

Question 14

Tx: Anorexia Nervosa

What do you wan to do to the weight of a client with Anorexia Nervosa ?

Answer 14

Increase their weight gradually

Question 15

Tx: Anorexia Nervosa

How do you want to weigh client’s with Anorexia Nervosa ? and Why ?

Answer 15

Want to weight them in their underwear

B/c they will manipulate their weight

Question 16

Tx: Anorexia Nervosa

What routine do you want to monitor in Anorexia Nervosa clients ?

Answer 16

Monitor Exercise routine

–> if exercise is life threatening, the nurse will have to stop it

Question 17

Tx: Anorexia Nervosa

An Anorexic client can help with ___________ ___________ when they start gaining weight ?

Answer 17

Decision making

Question 18

Tx: Anorexia Nervosa

hat do you want to acknowledge with Anorexic Clients ?

Answer 18

Acknowledge the difficulty of the client’s situation

Question 19

Tx: Anorexia Nervosa

What do you want to teach Anorexic clients ?

Answer 19

Teach healthy eating and exercise

Question 20

Tx: Anorexia Nervosa

What is one way to help give control back to Anorexic clients ?

Answer 20

Allow the client’s input into choosing healthy foods for meals

Question 21

Tx: Anorexia Nervosa

What do you want to monitor in Anorexic Client’s ?

Answer 21

Monitor for Suicidal thoughts

Question 22

Tx: Anorexia Nervosa

A client with Anorexia needs what type of therapy ?

Answer 22

Needs individual, group and family therapy

Question 23

What do we know about client’s with Bulimia Nervosa and their weight ?

Answer 23

Client’s are often at or close to their ideal body weight

Question 24

Assessment of Bulimia Nervosa clients often reveals what ?

Answer 24

Reveals physical and emotional problems

Question 25

What are Signs & Symptoms of Bulimia Nervosa ?

Answer 25

- Overeat and then vomit - Laxative & Diuretic use - Strict dieters: fast, exercises, and binges - Binges are alone and secret - Binges are pleasurable initially - Normal weight (might be at lower end)

Question 26

What is a symptom that is solely seen in client's with Bulimia Nervosa ?

Answer 26

Teeth erosion and damage (d/t repeated vomiting)

Question 27

Tx: Bulimia Nervosa What is the time frame that should be allowed for meals in client's with Bulimia Nervosa ?

Answer 27

Allow 30 minutes for meals & that it!

Question 28

Tx: Anorexia Nervosa What should meal time look like for client's with Bulimia Nervosa ?

Answer 28

- Should sit with the client at meals & observe for 1-2 hours after eating to ensure they don't induce vomiting - Allow 30 min for meals

Question 29

With which Eating Disorder do you want to take the focus away from the food ?

Answer 29

Bulimia Nervosa

Question 30

Tx: Bulimia Nervosa ______________ building is important for Bulimia Nervosa client's ?

Answer 30

Self-esteem building | nurse should be accepting and non-judgmental

Question 31

Tx: Bulimia Nervosa Why is a Contract beneficial in the Tx for Bulimia Nervosa ?

Answer 31

To specify the amount and type and type of food with each meal

Question 32

Clients with Bulimia and Anorexia feel what ? as long as they eat or don't eat like they want

Answer 32

Feel in control

Question 33

Tx: Bulimia Nervosa What type of therapy is typically needed in client's with Bulimia Nervosa ? and why ?

Answer 33

- Intense Family therapy | - B/c family problems are usually the cause