Week 9 - Exam 2 Flashcards
eating disorder etiology include:
1.
2.
3.
4.
- societal factors ( media portray beauty with thinness)
- family dynamics ( parents model unhealthy attitudes toward food and dieting)
- psychological factors (positive reinforcement fro weight loss, all or nothing thinking)
- biological factors (multiple brain structural and neurotransmitter changes occur)
Clients worry excessively about being overweight, even though they are severely ____________.
underweight
Clients with anorexia nervosa implement various strategies to keep weight off which include:
1.
2.
3.
- They may severely restrict caloric intake
- Over-exercise
- They may eat large quantities of food and then purge
This disorder is misnamed. The term anorexia means “lack of ________________.”
appetite
Clients with anorexia nervosa are underweight (i.e., BMI of ____ or lower). They look emaciated.
17
Anorexia nervose assessment finding:
1.
2.
3.
4.
5.
6.
7.
- arrested growth and development
- low bone mineral density
- amenorrhea
- bradycardia
- hypotension
- hypothermia
- lanugo
Anorexia clients who consume a vegetable-only diet sometimes have a __________ pigmentation due to excessive intake of beta-carotene (hypercarotenemia)
yellowish
Laxative and diuretic abuse can cause peripheral _________
edema
Food restrictions and purging can cause serious:
electrolyte deficiencies, including hypokalemia and hypomagnesemia. Anemia, leukopenia, and thrombocytopenia may also be present.
- electrolyte deficiencies, including hypokalemia and hypomagnesemia.
- Anemia
- leukopenia
- thrombocytopenia
Effective psychotherapies include:
1.
2.
3.
4.
- CBT
- psychoanalysis
- motivational interviewing 4. form of family therapy called the Maudsley method.
The standard treatment for anorexia nervosa is?
nutritional rehabilitation plus psychotherapy
__________-generation antipsychotics (e.g., olanzapine) can help clients gain weight.
second
______________ (e.g., fluoxetine) can help with comorbid anxiety and depressive disorders.
SSRIs
Anorexia nervosa most often occurs _________ in client
female
Usually, meals have a time limit (e.g., 30 minutes). Sit with clients during meal times and observe them for at least ______ hour afterward. ⭐
1
________________ trips must be monitored. Usually, calories that are not consumed in the given time period are counted and given via a nasogastric tube. Speak matter-of-factly about this policy, using a non-threatening tone.
bathroom
Two to three pounds of weight gain a week is considered medically safe. More rapid weight gain in malnourished clients can cause __________________ syndrome—a potentially deadly complication.
refeeding
After binging, ___________ _________ clients try to prevent weight gain by inducing vomiting, misusing laxatives or diuretics, fasting, or extreme exercise.
bulimia nervosa
Clients who have recurrent eating binges but do not engage in compensatory behaviors meet the criteria for __________ eating disorder.
binge
Excessive vomiting in bulimic clients can cause parotid gland enlargement, erosion of __________ enamel, and scarring on the ________________ (Russell’s sign). Clients with bulimia tend to have tachycardia. ⭐
teeth, knuckles
Purging behaviors can cause fluid and electrolyte abnormalities and metabolic ____________
alkalosis
______ is the treatment of choice for bulimia nervosa
CBT
If bulimic clients don’t respond well to psychotherapy, an ______________ (e.g., an SSRI) can be added.
antidepressant
Other people don’t like me because I’m fat is an example of?
overgeneralization
if I eat any dessert, I’ll gain gain 50 pounds is an example of?
all or nothing
My life is over if I gain weight is an example of?
catastrophizing
When I walk through the hospital hallway, I know everyone is looking at me is an example of?
personlization
