Exam #3 Flashcards
What is the literal definition of anorexia ?
lack of appetite
What is the BMI of a person with anorexia nervosa?
17 or lower
What are common signs/symptoms in a patient with anorexia?
bradycardia, hypotension, hypothermia, and lanugo (newborn-like hair to keep body warm)
What are possible lab findings in a patient with anorexia?
hypokalemia, hypomagnesia, anemia, leukopenia, and thrombocytopenia
What are important nursing interventions for patients with anorexia?
monitored bathroom trips, do not overfeed patients because this can cause refeeding complications
How do patients with bulimia nervosa usually present?
normal weight
What do clients who have recurrent eating binges but do not engage in compensatory behaviors qualify for?
binge eating disorder
What are common signs/symptoms of bulimia?
scarring on knuckles (russell’s signs), dental erosion, and tachycardia
What is a common laboratory finding in bulimia?
metabolic alkalosis
What are the stages in the Kubler-Ross model of grief?
denial, anger, bargaining, depression, acceptance
What is maladaptive grief?
occurs when grief is inhibited, exaggerated, or prolonged and is accompanied by feelings of worthlessness or low self-esteem
What is melancholic depression?
dark and unremitting. patient experiences early morning awakening and loss of appetite. Suicidal thoughts are common
What is mood-congruent depression?
experience delusions, strong feelings of guilt, may think they are responsible for someone’s death or a catastrophe. also they may believe they have a severe illness or their body is “rotting.” Auditory hallucinations may occur.
What is the chance of relapsing after a depressive episode? After two episodes?
50%, 80%
What is bipolar I?
clients experience mania and usually depression
What is bipolar II?
clients experience hypomania and depression
What has a strong basis for development of bipolar disorder?
genetics
What are important nursing interventions for patients with bipolar disorder?
- decrease environmental stimuli
- set limits on dangerous and manipulative behaviors
- avoid power struggles. dont become emotional
How many people in 2016 killed themselves?
45,000
10th leading cause of death
What percentage of people that killed themselves have a diagnosable mental illness?
90%
What are important nursing interventions for suicide prevention?
normalization (sometimes when clients are going through intense emotional pain, they have thoughts about killing themselves. Have you had any thoughts like this). Pay attention to indirect statements. Watch for sudden improvement in client’s mood.
What is ECT normally used for?
severe depression
What are adverse effects of ECT?
headache, elevated vitals, memory loss. (VERY SAFE,CAN BE USED IN PREGNANT WOMEN)
What is the nurse’s top priority for patients that have been under anesthesia?
airway