Test 10 ABUSE Flashcards
- Anorexia Nervosa: causes
« Distorted body image
« Biological factors and genetics
« Psychological factors
« Traumatic event (sexual abuse or bullying)
« The cause of anorexia is also a manifestation***
- Anorexia Nervosa manifestations
« Excessive weight loss, usually more than 25% of body weight prior to dieting
« Refusal to maintain normal weight.
« Intense fear of being fat
« Restricting food intake often to only 200–300 calories per day
« Excessive exercise
« Obsessive thoughts
« Perfectionism
« Absence of menstrual cycle (women)
« Distorted body image
« Physical signs can include slow pulse rate, electrolyte imbalances, fatigue, dry skin, and lanugo (fine body hair)
- Anorexia Nervosa: nursing goals including initial one.
« Returning to normal weight
« Stopping abnormal eating behaviors
« Dismantling unhealthy thoughts
« Treating comorbidities
« Planning for relapse prevention
- Bulimia: manifestations
« Extreme dieting
« Use and abuse of laxatives or syrup of ipecac (to induce vomiting)
« Use and abuse of diuretics.
« Obsession with food and eating.
« Poor self-concept
« Thoughts of harming self
« Routine use of bathroom immediately after eating
« Erosion of tooth enamel or hoarseness from vomiting
« Extreme sensitivity to body shape and weight
« Poor self-concept
« Likely to appear normal weight or slightly overweight.
« Impulsive
« Feeling depressed, guilty, worthless
- Bulimia: complications
« Cardiac arrhythmias*
« Electrolyte imbalance*
« Dehydration
« Tears in the gastric or esophageal mucosa
« Dental erosions
- Name the initial Nursing Goal when caring for patients with eating disorders.
Establish trust
- Define the following terms: Abuse
Physical, verbal, or emotional mistreatment of self or others; misuse of chemicals, food, or other substances.
- Define the following terms: Victim
A person who is harmed by another.
- In what area is violence being reported more frequently?
« Workplace
- What effect might culture have on abuse issues?
« Abuse crosses all cultural, ethnic, and socioeconomic groups. At times, some behaviors may appear abusive to us but are culturally appropriate. For example, in some cultures, men expect their wife’s subservience. This cultural norm needs to be taken into consideration before assuming the wife is being abused.
- How does alcohol influence the ability to abuse?
« Being under the influence of a substance is a major contributor to violence. When a person’s judgment is impaired and his or her ability to control impulses is altered, a person who is prone to these acts may abuse others.
- Who is at highest risk to become an abuser?
« History of being a victim
« Low self-esteem/need for power
« Impairment from alcohol/substance use
« Biological theories (Brain disorder)
« May be under stress (e.g., poverty, pressures of the job)
« Have limited access to support resources to deal with problems.
« Limited coping mechanisms to deal with conflict.
« Difficulty trusting others.
- Define the following terms: Sexual Abuse
Unwanted sexual contact.
- Define the following terms: Sexual Harassment
Unwanted sexual innuendo, often inflicted by a workplace superior on an employee or a subordinate.
- Define the following terms: Incest
Sexual activity between people who are so closely related that marriage is illegal.
