Eating Disorders Flashcards
A client with which Eating Disorder has a distorted body image ?
Anorexia Nervosa
How does a client with Anorexia Nervosa see themselves ?
The client sees an overweight person when looking in the mirror, regardless of their actual size
Signs/Symptoms: Anorexia Nervosa
Client’s with Anorexia Nervosa are __________ with food, but won’t eat
Preoccupied
Signs/Symptoms: Anorexia Nervosa
what health problems are common in client’s with Anorexia Nervosa ?
Dehydration & Electrolyte Imbalances
Bradycardia (HR < 60 ) and hypotension (BP < 90/50mmHg) are very common in what clients ?
Clients with Anorexia Nervosa who are less than 80% of ideal body weight
In clients with Anorexia Nervosa, what are the Bradycardia and Hypotension due to ?
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
Signs/Symptoms: Anorexia Nervosa
Do Anorexic clients loose weight ?
Yes
Signs/Symptoms: Anorexia Nervosa
In Anorexic client’s what stops d/t malnutrition ?
Menses stop
may have Lanugo on back and face
- (lanugo = typically seen on newborns)
In a client with which Eating Disorder is decreased sexual development seen ?
Anorexia Nervosa
Signs/Symptoms: Anorexia Nervosa
Why is Hypothermia a symptom in clients with anorexia nervosa ?
D/t loss of subcutaneous tissue
Signs/Symptoms: Anorexia Nervosa
Clients with Anorexia Nervosa are what ?
High achievers & perfectionists
Signs/Symptoms: Anorexia Nervosa
What are personality traits of client’s with Anorexia Nervosa ?
- Perfectionism
- Obsessive thoughts & actions related to food
- Intense feeling of shame
- People pleasers
Signs/Symptoms: Anorexia Nervosa
Client’s with anorexia nervosa want complete control over what ?
Their therapy
Tx: Anorexia Nervosa
What do you wan to do to the weight of a client with Anorexia Nervosa ?
Increase their weight gradually
Tx: Anorexia Nervosa
How do you want to weigh client’s with Anorexia Nervosa ? and Why ?
Want to weight them in their underwear
B/c they will manipulate their weight
Tx: Anorexia Nervosa
What routine do you want to monitor in Anorexia Nervosa clients ?
Monitor Exercise routine
–> if exercise is life threatening, the nurse will have to stop it
Tx: Anorexia Nervosa
An Anorexic client can help with ___________ ___________ when they start gaining weight ?
Decision making
Tx: Anorexia Nervosa
hat do you want to acknowledge with Anorexic Clients ?
Acknowledge the difficulty of the client’s situation
Tx: Anorexia Nervosa
What do you want to teach Anorexic clients ?
Teach healthy eating and exercise
Tx: Anorexia Nervosa
What is one way to help give control back to Anorexic clients ?
Allow the client’s input into choosing healthy foods for meals
Tx: Anorexia Nervosa
What do you want to monitor in Anorexic Client’s ?
Monitor for Suicidal thoughts
Tx: Anorexia Nervosa
A client with Anorexia needs what type of therapy ?
Needs individual, group and family therapy
What do we know about client’s with Bulimia Nervosa and their weight ?
Client’s are often at or close to their ideal body weight
Assessment of Bulimia Nervosa clients often reveals what ?
Reveals physical and emotional problems
What are Signs & Symptoms of Bulimia Nervosa ?
- 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)
What is a symptom that is solely seen in client’s with Bulimia Nervosa ?
Teeth erosion and damage (d/t repeated vomiting)
Tx: Bulimia Nervosa
What is the time frame that should be allowed for meals in client’s with Bulimia Nervosa ?
Allow 30 minutes for meals & that it!
Tx: Anorexia Nervosa
What should meal time look like for client’s with Bulimia Nervosa ?
- 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
With which Eating Disorder do you want to take the focus away from the food ?
Bulimia Nervosa
Tx: Bulimia Nervosa
______________ building is important for Bulimia Nervosa client’s ?
Self-esteem building
nurse should be accepting and non-judgmental
Tx: Bulimia Nervosa
Why is a Contract beneficial in the Tx for Bulimia Nervosa ?
To specify the amount and type and type of food with each meal
Clients with Bulimia and Anorexia feel what ? as long as they eat or don’t eat like they want
Feel in control
Tx: Bulimia Nervosa
What type of therapy is typically needed in client’s with Bulimia Nervosa ? and why ?
- Intense Family therapy
- B/c family problems are usually the cause
