exam 3 - eating disorders

Question 1

progression of symptoms leading to an eating disorder

Answer 1

normal eating
development of risk factors
partial-syndrome ED
full syndrom ED
treatment

Question 2

what is seen in development of risk factors

Answer 2

low self-esteem
dieting
body dissatisfaction
media ideal bodies

Question 3

binge eating and serious dieting are part of ….

Answer 3

partial-syndrome ED

Question 4

increase in frequency and severity of binge eating, purging, starvation

Answer 4

full-syndrome ED

Question 5

anorexia onset

Answer 5

early adolescence

Question 6

anorexia is a ____ condition with ____

Answer 6

chronic; relapses

Question 7

characteristics of anorexia

Answer 7

body image distortion
drive for thinness
interoceptive awareness
perfectionism
guilt and anger

Question 8

with anorexia, females are affected ____ times more often than males

Answer 8

10

Question 9

anorexia is more common among….

Answer 9

hispanics and whites

Question 10

pharmacologic treatment for anorexia

Answer 10

fluoxetine

Question 11

medical criteria for hospitalization of patients with eating disorders

Answer 11

acute weight loss – <85% below ideal
HR near 40 bpm
temperature <36.1C
BP < 80/50 mmHg
hypokalemia
hyophosphatemia
hypomagnesemia
poor motivation to recover

Question 12

psychiatric criteria for hospitalization of patients with eating disorders

Answer 12

risk for suicide
severe depression
failure to comply with treatment
inadequate response to treatment at another level of care (outpatient)

Question 13

nursing assessment of biologic domain of ED

Answer 13

body system evaluation
weight and BMI
menstrual history

Question 14

nursing diagnoses for biologic domain of ED

Answer 14

imbalanced nutrition – less than body requirements

Question 15

nursing interventions for biologic domain of ED

Answer 15

refeeding
sleep promotion
fluoxetine

Question 16

the nursing intervention for biologic domain of ED that includes behavioral plan of positive and negative reinforcements for weight gain

Answer 16

refeeding

Question 17

what is Russell’s sign

Answer 17

one of the physical ramifications of purging

Question 18

nursing interventions for psychological domain of ED

Answer 18

addressing interoceptive awareness – journaling
understanding feelings
restructuring distortions
movement and dance therapy
imagery and relaxation
interpersonal therapy
patient and family education

Question 19

with bulimia nervosa, there is not severe ___ ____ or _____ as there is with anorexia nervosa

Answer 19

weight loss; amenorrhea

Question 20

the diagnostic criteria for bulimia nervosa includes recurrent episodes of binge eating and compensatory behaviors that can be….

Answer 20

purging
non-purging

Question 21

purging compensatory behaviors for binge eating with bulimia

Answer 21

vomiting
laxatives
diuretics
emetics

Question 22

nonpurging compensatory behaviors for binge eating with bulimia

Answer 22

fasting or over exercising

Question 23

to be diagnosed with bulimia nervosa the episodes must occur at least once a week for at least _ ______

Answer 23

3 months

Question 24

common comorbid conditions of bulimia nervosa

Answer 24

substance abuse
depression
OCD

Question 25

biochemical theory of bulimia nervosa includes decreased ____ neurotransmission

Answer 25

serotonin