Eating Disorders

Question 1

characteristics of anorexia

Answer 1

fear of weight gain - disturbed body image
preoccupation w/food and handling of foods
refusal to maintain norm. weight
Don’t want to associate food and eating

Question 2

presentation of anorexia

Answer 2

lanugo
cachetic
dehydrated
low BP, low Pulse, low temp
cool extremities

Question 3

physical complications r/t anorexia

Answer 3

cardiac abnormalities
fatty liver (body is compensating)
elevated cholesterol
osteoporosis
proteinuria
electrolyte imbalances (hypokalemia)
leukopenia

Question 4

assessing anorexic pt.

Answer 4

do they need to be hospitalized
do they have med/psych co-morbidity
what does the family know/understand about the condition
will they except trt
do they know where to go for support

Question 5

physical criteria for admission to hospital (anorexia)

Answer 5

30% or more weight loss in 6 months

HR

Question 6

psych criteria for admission to hospital (anorexia)

Answer 6

suicidal
self-mutilating
uncontrolled use of laxatives
family crisis/dysfunction

Question 7

nurs dx r/t anorexia

Answer 7

imbalanced nutrition
risk for injury
decreased cardiac output
disturbed body image

Question 8

pt goals for anorexia (pt. will…)

Answer 8

normalize eating pattern
demonstrate healthy eating patterns (eat 3 meals a day, eating 80% of meal)
Restore body image

Question 9

is long term trt/therapy recommended for anorexic pt?

Answer 9

yes

Question 10

communication guidelines for anorexia

Answer 10

address underlying emotions
build therapeutic alliance
avoid authoritarian/parental role

Question 11

nurs interventions for anorexia

Answer 11

weights same time/day/clothes after void/before drink
structure mealtimes/menu
monitor after eating
establish contract - gives pt. power over disease
teach about health implications
recognize distorted self-image without minimizing
Sit in dayroom, no bathroom for 30 min

Question 12

trt (therapies) for anorexia

Answer 12

group/family therapy
psychotherapy
cognitive/behavioral therapy (feelings change then behaviors change)
Accompanied for bathroom visits

Question 13

trt (meds) for anorexia

Answer 13

not recommended until weight is restored
SSRI’s (Prozac)
Atypical anti-psychotics (Zyprexa) - improves mood/body image

Question 14

is anorexia a chronic or acute illness

Answer 14

chronic - relapses are common

Question 15

characteristics of bulimia

Answer 15

recurrent binge eating
self-induced vomiting
laxative abuse
excessive exercise
difficulty w/relationships

Question 16

assessing bulimia

Answer 16

slightly above/below norm. weight

impulsive behaviors

Question 17

s/s of bulimia

Answer 17

enlarged parotid glands
Russel’s sign
enamel loss/dental caries

Question 18

nurs dx r/t bulimia

Answer 18

decreased cardiac output
low self-esteem
anxiety
ineffective coping

Question 19

pt goals for bulimia (pt will)

Answer 19

refrain from binging/purging
name 2 strengths
maint. norm. electrolyte balances

Question 20

Disturbed body image is the nursing diagnosis for a patient
with bulimia. Which outcome indicator is most appropriate
to monitor?

Answer 20

D.Patient expresses satisfaction with body

appearance

Question 21

is trt usually short or long term for bulimic pt.

Answer 21

long term

Question 22

communication guidelines for bulimia

Answer 22

form therapeutic alliance w/pt.

accepting, nonjudgmental approach

Question 23

trt for bulimic pt.

Answer 23

structured unit interrupting binge/purge cycle
teach healthy diet/menu
coping/relaxation techniques

Question 24

most effective trt (psych) for bulimic pt.

Answer 24

cognitive-behavioral therapy

Question 25

medication trt for bulimia

Answer 25

SSRI (Prozac)

Question 26

what are the effects of Prozac on bulimia

Answer 26

reduce binge/vomit episodes

trt co-morbidity (depression)

Question 27

The core of an eating disorder

Answer 27

Control