Eating Disorders

Question 0

Types of Eating Disorders:

Answer 0

1. Anorexia Nervosa- Do not eat, more severe
2. Bulimia Nervosa- not as obvious,
   Binge eating
   Purging
3. Binge eating disorder (BED)

Question 1

Factors contributing to Eating Disorders

Answer 1

1. Vulnerable Personality
2. Dieting that becomes uncontrolled
3. Genetics
4. Onset of puberty
5. Major life changes or stressors
6. Family functioning style
7. Sociocultural emphasis on silmness

Question 2

Characteristics of Bulimia

Answer 2

1. Episodic, uncontrolled, rapid ingestion of large quantities of food
2. Compensation for excessive food intake by self-induced vomiting, obsessive exercise, and or use of laxatives and diuretics.

Question 3

Typical client with Bulimia

Answer 3

1. Young, college educated woman
2. Achieves highly at work or school
3. Tends to be passive, dependent, and unassertive
4. disorganized family in conflict, confusing sex role expectations
5. Alsohol or substance abuse is common

Question 4

Characteristics of Binge Eating Disorder (BED)

Answer 4

1. Recurrent eating binges
2. Guilt
3. Shame
4. Disquiet about binging
   5 Marked psychological distress

Question 5

Physiological consequences of starvation:

Answer 5

1. Amenorrhea- absence of menstrual period
2. Lanugo hair- hair falls out
3. Hypotension
4. Bradycardia
5. Hypothermia
6. Constipation
7. Polyuria
8. Electrolyte imbalances-> cardiac issues

Question 6

Treatment of Eating disorders:

Answer 6

1. Individual and group psychotherapy
2. Behavioral therapy
3. Cognitive-behavioral therapy
4. Dialectical pharmacologic behavior therapy
5. Nutritional therapy
6. Family therapy
7. Psychopharmacology

Question 7

Symptoms related to disturbances in Nutrition and Metabolism

Answer 7

1. Dehydration, hypokalemia
2. Cardiac dysrhythmia, hypotension, bradycardia
3. Dry skin, brittle hair and nails, lanugo
4. Frequent infections, dental caries, inflammation of throat & esophagus
5. Swollen parotid glands (from purging)
6. Amenorrhea, hypothermia

Question 8

Teaching Points

Answer 8

1. Provide unconditional love
2. Focus on person rather than on eating disorder
3. Give the client the power to make decisions and facilitate changes in matters other than eating
4. Demonstrate united support for one another
5. Prepare for hospitalization if the pt becomes medically unstable or for rehospitalization if he or she experiences a relapse.

Question 9

Desired Out comes

Answer 9

1. Weight gain
2. Normal labs and Vitals
3. Return of secondary sext characteristics- menstruation
4. Realistic perception of body image
5. direct expression of feelings
6. Improved self-image
7. Sense of control over self and environment
8. Constructive family process