Test 1 - Eating Disorders Flashcards
Do anorexic patients feel hunger pains?
Yes. It is only with food intake of less than 200 calories per day that hunger sensations cease.
(I interpret this as saying if a person eats
What is lanugo?
fine, soft hair, especially that which covers the body and limbs of a human fetus or newborn. Caused by anorexia - believed to be a way for body to keep warm.
What is a plan to success for anorexia?
Client must feel that they are in control. Successes have been observed when the client with AN is allowed to contract for privileges based on weight gain. Client should have input into the care plan and can clearly see what treatment choices are. Gives patient a sense of autonomy.
A person who eats an amount far larger than normal and does not not purge has an ED called
Binge Eating Disorder
A person who does not eat, eats extremely little….
anorexic
A morbid fear of obesity, what are the symptoms of this eating disorder
Anorexia Nervosa
refusal to eat
extensive exercising
Self induced vomiting
Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client’s home environment should a nurse associate with the development of this disorder?
A. The home environment maintains loose personal boundaries.
B. The home environment places an overemphasis on food.
C. The home environment is overprotective and demands perfection.
D. The home environment condones corporal punishment.
ANS: C
The nurse should assess that a home environment that is overprotective and demands perfection may be a major influence in the development of anorexia nervosa. In adolescence, distorted eating patterns may represent a rebellion against controlling and demanding parents.
A nurse observes dental deterioration when assessing a client diagnosed with bulimia nervosa. What explains this assessment finding?
A. The emesis produced during purging is acidic and corrodes the tooth enamel.
B. Purging causes the depletion of dietary calcium.
C. Food is rapidly ingested without proper mastication.
D. Poor dental and oral hygiene leads to dental caries. ANS:
A
The nurse recognizes that dental deterioration has resulted from the acidic emesis produced during purging that corrodes the tooth enamel. Excessive vomiting may also lead to dehydration and electrolyte imbalance.
A nurse is seeing a client in an outpatient clinic for treatment of anorexia nervosa. Which is the most appropriate, correctly written short-term outcome for this client?
A. The client will use stress-reducing techniques to avoid purging.
B. The client will discuss chaos in personal life and be able to verbalize a link to purging.
C. The client will gain 2 pounds prior to the next weekly appointment.
D. The client will remain free of signs and symptoms of malnutrition and dehydration.
ANS: C
The symptoms of anorexia nervosa do not include purging. Correctly written outcomes must be client centered, specific, realistic, measurable, and also include a time frame.
What is the DSM guidelines for bulimia in regard to binge episodes?
Minimum of 2 binge eating episodes per week for three months.
What type of meal plan should we implement for an anorexic person?
6 small meals a day
What type of meal plan should we implement for a bulimic person?
3 regular meals (per lecture)
T or F: A person with bulimia may have a weight fluctuation of 10 lbs in one day.
true
T or F: Anorexic patients embrace traditional femininity
False. Bulimic patients embrace it. Anorexic patients are extremely thin and bony.
What are common issues found in adolescents with eating disorders?
high risk for anxiety, depression and suicide
T or F: Men are not anorexic
False. Some men are, more common in gay men
What are ways that bulimics purge?
vomiting, laxatives, diuretics, enemas
T or F: there is often a history of sexual abuse in bulimic patients
True
A patient has a sore throat, esophagitis and enamel erosion. Their parotid glands are enlarged and they have calluses on their knuckles. Skin turgor is poor and they have not had a period in a few months. What is this person’s Dx?
bulimia
What is the best type of therapy for EDO patients?
cognitive behavioral
Use contracts.
Patient should think before acting (think before purging or skipping food or exercising, etc)
What are appropriate diagnoses for EDO patients?
Disturbance in self oncept (anorexic individuals see themselves as fat even when emaciated)
Alteration in family process (parents expect perfection and are controlling, child uses controlling food as a way to have a say).
What are appropriate interventions for Bulimic pts?
- Ensure adequate nutritional intake
- monitor for 2 hours after meals for BN to prevent binge
- Contracts
- Set target weights
- Eat with pt. (role model), talk while they eat.
- avoid discussions about food
- weigh patient where only nurse can see the number
- Provide structure around meals
- Use positive reinforcement to increase self esteem
If giving an edo patient an antidepressant, what is preferred and what is a “no no”?
DO NOT use buproprion (Wellbutrin) because it decreases seizure threshold
Anorexic:
SSRI- fluoxetine (prozac) or
TCA- clomipramine (Anafranil)
Bulimic:
SSRI - fluoxetine (prozac)
Binge Eater:
anticonvulsant - topiramate (Topamax)
SSRI - fluoxetine (prozac)
A patient has an intense fear of gaining weight. She has not had a menstrual period in four months. She has lost at least 25% of her body weight, has dry skin and hair loss along with lanugo. What is her Dx?
anorexia
