| Question |
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| Answer |
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| What is a psychiatric disorder involving a voluntary refusal to eat and maintain minimal weight for height and age? |
Anorexia Nervosa |
| Distorted body image and fear of becoming obese drives the excessive what of a pt with anorexia nervosa |
dieting and exercise |
| What is more common in females and usually occurs in young adults and adolescents? |
Aneorexia Nervosa |
| What is the % of pt.s with Anorexia Nervosa that die? |
15-20% |
| What are the possible causes of Anorexia Nervosa? |
Parent child conflicts about dependeny issue( child sees food and weight as an area in life they can control,dysfunctionalfamily system, unrealistic expectations of perfection, ambivalence about maturation(family has big expectations for child as an adult |
| When is a person considered anorexic? |
weight loss is at least 15% of ideal body weight., apathy about physical condition, excessive exercise, disotorted body image, low selfesteem, hair loss & dry skin, irregular heartbeat, decreased pulse/bp, amenorrhead for 3 months, dehydration/electolyte |
| What is severe anorexia signs? |
irregular heart beat, decreased pulse/BP resulting from deccreased blood volume/dehydration |
| Dehydration and electrolyte imbalance (decreased sodium, potassium and chloride) resulting from |
diet pill abuse, enema and laxative abuse, diuretic abuse, and self induced vomiting are things to look for with a pt with anorexia nervosa |
| What are some nursing interventions for pt. with anorexia nervosa? |
monitor weight, VS, and electrolytes, provide structured supportive enviroment, esp. during meal with set time limit, carefully monitor food and fluid intake, observe for choosing low calorie foods, watch for hiding food, monitor excessive exercising, |
| What are more nursing interventions for a pt with anorexia nervosa? |
encourage family therapy( usually long-term), focus interactions away from food, Implement suicide percautions if nec., admin antidepressants as ordered, behavior mod programs |
| What is an eating disorder characterized by eating excessive amounts of food followed by self-induced vomiting? |
Bulimia Nervosa |
| What do pt.s with bulimia nervosa usually report? |
a loss of control during binging and guilt with purging ( vomiting or laxative use) |
| What should an assesment of a pt. with bulimia nervosa include? |
similar to pts with anorexia, but weight not as important, bulimic pts usually are not underweight, may have diarrhea, constipation, or ab bleeding, dental damage, sore throat, esoph. inflamation, financial strain related to food budget |
| What are nursing interventions for a pt with bulimia Nervosa? |
similar to pt with anorexia except less focus on weight and more on prevention of purging, which may include locking bathroom doors or visual observation for 1 hr after meals, encourage pt to verbalize feelings of anger |
| What are some other nursing interventions for pts with bulimia? |
discuss strategies to deal with feelings, stop vomiting, and stop laxative use, pts should not plan or prepare food for the unit |
| If a pt uses syrup of Ipecac to induce vomitting it may cause what? |
CHF Asses for wet breath sounds |
| What are some nursing diagnosis for a pt with Anorexia Nervosa? |
Alterations in Nurtition: less than body requirements, disturbance in self concept, alterations in family process. |
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