VN 42 Mental Health Test 10 Flashcards
- Anorexia Nervosa: causes
- disturbed body image
- Biological factors & genetics
- Psychological factors (fear of maturing, by not eating remains child in the family
- Traumatic event(bullying sexual abuse)
- Anorexia Nervosa manifestations:
(POREPAIRED)
* 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:
- Returning to normal weight (slow and steady, no more than 3lbs/wk)
- Stopping abnormal eating behaviors
- Dismantling unhealthy thoughts
- Treating comorbidities
- Planning for relapse prevention
- Bulimia: manifestations
(POEEUULIFTER)
* 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
* 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
- Name the initial Nursing Goal when caring for patients with eating disorders (PG.278).
- Establish trust
- Abuse?
Physical, verbal, or emotional mistreatment of self or others; misuse of chemicals, food, or other substances.
9.Victim?
A person who is harmed by another.
- In what area is violence being reported more frequently?
- Workplace violence
- What effect might culture have on abuse issues (PG.330)?
- Some behaviors may appear abusive to us but are culturally appropriate.
- 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 (PG.330)?
- Alcohol increases the chance of abuse
- Impairment of judgement
- Ability to control impulses is altered
- Who is at highest risk to become an abuser?
- Someone who has been abused themselves
- Sexual abuse?
Unwanted sexual contact
- Sexual harassment?
Unwanted sexual innuendo, often inflicted by a workplace superior on an employee or a subordinate.
- Incest?
Sexual activity between people who are so closely related that marriage is illegal.
- Rape?
Violent sexual act that is performed against one’s will.
- Date rape?
Unwanted sexual intercourse between people who are acquainted and in which the party who pays for the date expects sex in return.
- Physical abuse?
Any actions by omission or commission that cause physical harm to another.
- What is the best form of therapy for an abused child (PG.338)?
- Art & Drawing
- What effect does socio-economic status have on reporting spousal abuse?
- Victims tend to under-report the abuse
- What is elder abuse?
- Physical, emotional, sexual, and economic abuse of older adults.
- Victims often dependent on abuser
- Victims reports of abuse may be ignored
- Abuser usually caregiver role (hired caregiver, family)
- What is Respite Care?
- Relief supplied to primary caregivers.
- List the general Nursing Actions to help abused persons (PG.339).
- Report abuse yourself as the nurse
- Ensure safety
- Know your own thoughts & feelings about abuse
- Remain nonjudgmental/ show empathy
- Know your agency policy & use your resources
