Exam 4 Eating disorders

Question 1

What is pica?

Answer 1

eating things that arent edible

Question 2

What is rumination?

Answer 2

swallowing and then regurgitating food (and then maybe eating it again)

Question 3

What is refeeding syndrome?

Answer 3

adverse reaction for underweight person being treated in hospital

Question 4

What disorder is very focused on healthy eating? Stringent diet, few carbs etc.
very obsessive with “health”

Answer 4

Anorexia Nervosa

Question 5

What is binging?

Answer 5

eating more than you normally would

Question 6

What is purging?

Answer 6

getting rid of the food via vomiting, laxatives etc.

Question 7

What is compensatory behaviors?

Answer 7

undo the eating

Question 8

What are etiology findings for eating disorders?

Answer 8

family
social media

Question 9

What is the binge-eating/purging type of anorexia nervoa?

Answer 9

binges and purges (or use compensatory behaviors)

Question 10

What are physical symptoms of anorexia nervosa?

Answer 10

amenorrhea
constipation
sensitive to cold
loss of body fat
muscle atrophy
hair loss
dry skinm
dental caries
bradycardia/arrythmias
enlarged parotic glands
hypothermia
electrolyte imabalance
lanugo

Question 11

What are findings of anorexia nervosa?

How do these people act?

Answer 11

fear of obesity
feels fat when thin
loss of at least 25%
refusal to maintain minimal body weight
amenorrhea

Question 12

What are risk factors for anorexia nervosa?

Answer 12

obesity
dissatisfaction with body image
body image distortions/disturbance
fmaily conflict
lack of emotional support
autonomy/control
cultural ideals
external pressure to conform

Question 13

When does anorexia nervosa begin?

Answer 13

14-18

Question 14

What medications are used for anorexia nervosa?

be specific

Answer 14

olanzapine- distorted thinking
amitrptyline- promote weight gain
fluoxetine- prevent realpse

Question 15

Why is treatment difficult for anorexia nervosa?

Answer 15

pt resistant
suicide risk
refeeding syndrome

Question 16

What is Russell’s sign?

Answer 16

calusses on the hands from striking the teeth

Question 17

What are findings of bulimia nervosa?

Answer 17

late adolescence/adulthood
18-19 average onset
binge/purge/restrict/compensatory bxs
pt are aware that this is path behavior
hoarding food
45%/25% remain chronically ill
1/3 relapse
intense feelings of shame and guilt
generally within normal weight range

Question 18

What are risk factors of bulimia nervosa?

Answer 18

obesity
early dieting
self perceptions
dissatisfaction
with body image
chaotic family with loos boundaries
possible history of abuse
cultural influences
hx of bullying/weigh related

Question 19

How do you treat bulimia nervosa?

Answer 19

CBT
antidepressants-improve mood/reduce preoccupation

Question 20

WHat is binge eating disorder?

Answer 20

eating lots of food in short period of time
nocompensatory behavior
shame and guilt
more commin in older adults over 35
more common in men

Question 21

How do you treat binge eating?

Answer 21

• eating attitudes test
• care plans
• nutrition/diagnosis education
• blind weights
• observe after meals
• avoid judgemental tone
• avoid assigning good/bad hevaior

Question 22

What are interventions for binging?

Answer 22

• ask directly about self harm
• set limits
• encourage expressions
• journaling
• CBT-cognitive disorders

Question 23

What are examples of cognitive distortions?

Answer 23

overgeneralizations
all or nothing thinking
catasrophizing
personalization
emotional reasoning

Question 24

What is refeeding syndrome?

Answer 24

reintroduction of fluids electrlytes and carbs to a malnourished client
fatal reaction

Question 25

What are comorbid with eating disorders?

What mental illnesses?

Answer 25

depression
anxiety
Obsessive compulsive behaviors