exam 3 - eating disorders Flashcards
progression of symptoms leading to an eating disorder
normal eating
development of risk factors
partial-syndrome ED
full syndrom ED
treatment
what is seen in development of risk factors
low self-esteem
dieting
body dissatisfaction
media ideal bodies
binge eating and serious dieting are part of ….
partial-syndrome ED
increase in frequency and severity of binge eating, purging, starvation
full-syndrome ED
anorexia onset
early adolescence
anorexia is a ____ condition with ____
chronic; relapses
characteristics of anorexia
body image distortion
drive for thinness
interoceptive awareness
perfectionism
guilt and anger
with anorexia, females are affected ____ times more often than males
10
anorexia is more common among….
hispanics and whites
pharmacologic treatment for anorexia
fluoxetine
medical criteria for hospitalization of patients with eating disorders
acute weight loss – <85% below ideal
HR near 40 bpm
temperature <36.1C
BP < 80/50 mmHg
hypokalemia
hyophosphatemia
hypomagnesemia
poor motivation to recover
psychiatric criteria for hospitalization of patients with eating disorders
risk for suicide
severe depression
failure to comply with treatment
inadequate response to treatment at another level of care (outpatient)
nursing assessment of biologic domain of ED
body system evaluation
weight and BMI
menstrual history
nursing diagnoses for biologic domain of ED
imbalanced nutrition – less than body requirements
nursing interventions for biologic domain of ED
refeeding
sleep promotion
fluoxetine
the nursing intervention for biologic domain of ED that includes behavioral plan of positive and negative reinforcements for weight gain
refeeding
what is Russell’s sign
one of the physical ramifications of purging
nursing interventions for psychological domain of ED
addressing interoceptive awareness – journaling
understanding feelings
restructuring distortions
movement and dance therapy
imagery and relaxation
interpersonal therapy
patient and family education
with bulimia nervosa, there is not severe ___ ____ or _____ as there is with anorexia nervosa
weight loss; amenorrhea
the diagnostic criteria for bulimia nervosa includes recurrent episodes of binge eating and compensatory behaviors that can be….
purging
non-purging
purging compensatory behaviors for binge eating with bulimia
vomiting
laxatives
diuretics
emetics
nonpurging compensatory behaviors for binge eating with bulimia
fasting or over exercising
to be diagnosed with bulimia nervosa the episodes must occur at least once a week for at least _ ______
3 months
common comorbid conditions of bulimia nervosa
substance abuse
depression
OCD
biochemical theory of bulimia nervosa includes decreased ____ neurotransmission
serotonin
