Eating Disorders

Question 1

what are triggers for eating disorders

Answer 1

onset of menstruation
traumatic personal incident
family stress
feelings of lack of personal control
perception they are putting on weight

Question 2

what are family characteristics of eating disorders

Answer 2

high parental expectation
difficulty managing conflict
poor communication
enmeshment of fame
devaluation of the mother
marital tension

Question 3

what are the SCOFF questions for screening of eating disorders

Answer 3

1. Do you make yourself SICK because you feel uncomfortably full
2. Do you worry that you have lost CONTROL over how much you eat
3. Have you recently lost more than ONE stone (14lb) in a 3 month period
4. Do you believe yourself to be FAT when others say you are too thin
   would you say that FOOD dominates your life

Question 4

Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain

Answer 4

anorexia nervosa

Question 5

what are the “trophies” of anorexia nervosa

Answer 5

collar bones
hip bones
thigh gap

Question 6

anorexia nervosa people are usually

Answer 6

perfectionists
academically high achievers
conforming
conscientious
typically have high energy levels with marked emaciation
may eventually develop bulemia

Question 7

anorexia nervosa’s whole self worth is based on

Answer 7

the amount of body fat they have

Question 8

what eating disorder maintains a sense of control

Answer 8

anorexia nervosa

Question 9

what are the anorexia subtypes

Answer 9

restricting type and purging type

Question 10

what are CM of anorexia nervosa

Answer 10

profound weightless
amenorrhea
bradycardia
low body temp 
hypotension
dry skin
brittle nails
lanugo hair
thinning hair
bone pain with muscle wasting

Question 11

how is anorexia nervosa dx

Answer 11

based on clinical manifestations and conformity to DSM IV criteria

Question 12

what is the most common and most severe medical complication of anorexia nervosa

Answer 12

cardiovascular problems

Question 13

recurrent inappropriate compensatory behaviors in order to prevent weight gain

Answer 13

bulimia nervosa

Question 14

how often should binge eating occur in order to be dx with bulimia nervosa

Answer 14

at least 1x week for 3 months

Question 15

what eating disorder whats to be in control

Answer 15

anorexia nervosa

Question 16

what eating disorder has a pattern related to guilt

Answer 16

bulimia nervosa

Question 17

may be of average or slightly above average weight

Answer 17

bulimia nervosa

Question 18

the feeling that one has lost control and cannot stop eating, a sense of shame for the amount of food consumed

Answer 18

the binge

Question 19

inappropriate behavior to rid consumed food such as self induced vomiting, lax/enemas, diet pills, excessive exercise

Answer 19

the purge

Question 20

what are CM of bulimia nervosa

Answer 20

sores around mouth
swollen parotid glands
loss of tooth enamel
esophageal ulcers
osteoporosis
Brussel sign (callus of knuckles)

Question 21

how is bulimia nervosa dx

Answer 21

confirmed by at least two binge eating episodes per week for the preceding 3 months

Question 22

what is the treatment for eating disorders

Answer 22

interdisciplinary
long treatment
family based may be beneficial
goal is to keep them outpatient for therapy

Question 23

what is important to avoid in nutrition therapy

Answer 23

avoid refeeding syndrome in which replacement is given too rapidly (goal is 0.5-1lb per week to prevent)

Question 24

what are nursing interventions for eating disorders

Answer 24

weigh patient (blind weight)
supervise meals during and 2 hrs after
tell them to seek staff when feel they need to vomit
encourage food journaling

Question 25

what is important about communication with these patients

Answer 25

don’t make any comments about their appearance instead say something like “you’re really strong”