Eating Disorders

Question 1

What is anorexia nervosa?

Answer 1

Self starvation

Question 2

Has Anorexia nervosa increased or decreased in the past 30 years?

Answer 2

Increased approximately 1%

Question 3

What is the age of onset for anorexia nervosa?

Answer 3

Typically 14 years old but it can range from 12 to 30 years old.

Question 4

What percentage of anorexia nervosa cases are female?

Answer 4

90%

Question 5

Anorexia nervosa is characterized by what?

Answer 5

Morbid fear of gaining weight, refusal to eat while preoccupied with food and gross distortion a body image.

Question 6

If a person eats less than how many calories a day they will cease to feel hungry?

Answer 6

200

Question 7

What is the typical chloric intake of an anorexia nervosa patient before treatment?

Answer 7

600 to 800 cal a day.

Question 8

What are the two types of anorexia nervosa?

Answer 8

• Restricting,

- Binge eating/purging.

Question 9

What is the mortality rate of anorexia nervosa?

Answer 9

20%

Question 10

What are the physical symptoms of anorexia nervosa?

Answer 10

Hypothermia, bradycardia, hypotension, Adema, metabolic changes, anemia, dysrhythmias, heart failure,lanugo

Question 11

Define lanugo.

Answer 11

Hair growth

Question 12

Define binging as related to bulimia nervosa.

Answer 12

Episodes of uncontrolled, rapid, compulsive eating of large quantities of food over a short period of time. Usually less than two hours. Foods are usually smooth and easy to eat in large volumes

Question 13

Define purging as related to bulimia nervosa.

Answer 13

Compensatory behaviors to get rid of excess calories.

Question 14

For the bulimia nervosa patient what feelings does binging give them?

Answer 14

Initially pleasure followed by self degradation and depressed mood.

Question 15

What are side effects of bulimia nervosa?

Answer 15

Dehydration and electrolyte in balance, erosion of tooth enamel, the esophageal tears, chronic hoarseness, enlarged parotid gland, mood disorders, anxiety disorders, substance abuse.

Question 16

True or false most individuals with bulimia are within a normal weight range?

Answer 16

True (slide 5 in eating disorders)

Question 17

Disorders of under eating and over eating are influenced by what?

Answer 17

Society and cultural believes

Question 18

To qualify as binge eating how often does an individual need to binge eat each week, and for how many months?

Answer 18

At least two days a week for six months.

Question 19

What are some Characteristics of binge eating?

Answer 19

Person has a sense of lack of control, recurrent episodes of binge eating, eating large amounts of food when not hungry, eating much more rapidly than normal, eating alone and in hiding.

Question 20

What are three etiological factors for binge eating?

Answer 20

Environmental, psychological, biological.

Question 21

What is the treatment for anorexia?

Answer 21

Restoring wait by refeeding.

Question 22

What is the treatment for bulimia?

Answer 22

Cognitive behavioral therapy is evidenced-based and a best practice approach.

Question 23

What is motivational interviewing?

Answer 23

Focuses on exploring and resolving ambivalence and on motivational processes with an individual that facilitate change. Can be implemented with all eating disorders.

Question 24

What is refeeding?

Answer 24

Feeding by nasal, parenteral, or stomach tubes if the patient refuses to eat.

Question 25

When refeeding a patient what is weight gain Limited two per week?

Answer 25

2 pounds per week.

Question 26

What are examples of secondary prevention of eating disorders?

Answer 26

Learn to recognize the early signs, attempt to find the factors that perpetuate an eating disorder and interrupt them in this person, include eating patterns in basic assessment.