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NCLEX - HURST REVIEW (Mental Health) > Eating Disorders > Flashcards

Eating Disorders Flashcards

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1
Q

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

A

Anorexia Nervosa

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2
Q

How does a client with Anorexia Nervosa see themselves ?

A

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

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3
Q

Signs/Symptoms: Anorexia Nervosa

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

A

Preoccupied

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4
Q

Signs/Symptoms: Anorexia Nervosa

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

A

Dehydration & Electrolyte Imbalances

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5
Q

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

A

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

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6
Q

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

A

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

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7
Q

Signs/Symptoms: Anorexia Nervosa

Do Anorexic clients loose weight ?

A

Yes

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8
Q

Signs/Symptoms: Anorexia Nervosa

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

A

Menses stop

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

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9
Q

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

A

Anorexia Nervosa

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10
Q

Signs/Symptoms: Anorexia Nervosa

Why is Hypothermia a symptom in clients with anorexia nervosa ?

A

D/t loss of subcutaneous tissue

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11
Q

Signs/Symptoms: Anorexia Nervosa

Clients with Anorexia Nervosa are what ?

A

High achievers & perfectionists

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12
Q

Signs/Symptoms: Anorexia Nervosa

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

A
  • Perfectionism
  • Obsessive thoughts & actions related to food
  • Intense feeling of shame
  • People pleasers
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13
Q

Signs/Symptoms: Anorexia Nervosa

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

A

Their therapy

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14
Q

Tx: Anorexia Nervosa

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

A

Increase their weight gradually

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15
Q

Tx: Anorexia Nervosa

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

A

Want to weight them in their underwear

B/c they will manipulate their weight

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16
Q

Tx: Anorexia Nervosa

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

A

Monitor Exercise routine

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

17
Q

Tx: Anorexia Nervosa

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

A

Decision making

18
Q

Tx: Anorexia Nervosa

hat do you want to acknowledge with Anorexic Clients ?

A

Acknowledge the difficulty of the client’s situation

19
Q

Tx: Anorexia Nervosa

What do you want to teach Anorexic clients ?

A

Teach healthy eating and exercise

20
Q

Tx: Anorexia Nervosa

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

A

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

21
Q

Tx: Anorexia Nervosa

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

A

Monitor for Suicidal thoughts

22
Q

Tx: Anorexia Nervosa

A client with Anorexia needs what type of therapy ?

A

Needs individual, group and family therapy

23
Q

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

A

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

24
Q

Assessment of Bulimia Nervosa clients often reveals what ?

A

Reveals physical and emotional problems

25
Q

What are Signs & Symptoms of Bulimia Nervosa ?

A
  • 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)
26
Q

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

A

Teeth erosion and damage (d/t repeated vomiting)

27
Q

Tx: Bulimia Nervosa

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

A

Allow 30 minutes for meals & that it!

28
Q

Tx: Anorexia Nervosa

What should meal time look like for client’s with Bulimia Nervosa ?

A
  • 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
29
Q

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

A

Bulimia Nervosa

30
Q

Tx: Bulimia Nervosa

______________ building is important for Bulimia Nervosa client’s ?

A

Self-esteem building

nurse should be accepting and non-judgmental

31
Q

Tx: Bulimia Nervosa

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

A

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

32
Q

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

A

Feel in control

33
Q

Tx: Bulimia Nervosa

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

A
  • Intense Family therapy

- B/c family problems are usually the cause

NCLEX - HURST REVIEW (Mental Health) (10 decks)

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