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Unit V

Eating Disorders

QuestionAnswer
A single event affects unrelated situations; “He didn’t ask me out. It must be because I’m fat.” Overgeneralization
Reasoning is absolute and extreme, in mutually exclusive terms of black or white, good or bad. All-or-Nothing Thinking
The consequences of an event are magnified; “If i gain weight my weekend will be ruined.” Catastrophizing
Events are over interpreted as having personal significance; “I know everyone is watching me eat. I think people wont like me unless i am thin.” Personalization
Subjective emotions determine reality; “I know I’m fat, because i feel fat. When I am thin i feel powerful.” Emotional Reasoning
Refuse to maintain a minimal normal weight for height and express intense fear of gaining weight. Anorexia Nervosa
Engage in repeated episodes of binge eating followed by inappropriate compensatory behaviors, such as self-induced vomiting. Bulimia Nervosa
Repeated episodes of binge eating that do not regularly use compensatory behaviors, such as self-induced vomiting, laxatives, diuretics, and other medications. Binge Eating Disorder
Anorexia may start early (between __ and __), but Bulimia is really seen in children younger than 12 years old. 7 & 12
There is some evidence that the _____ the person is when anorexia symptoms begin, the better the chance for positive outcomes. Younger
This dysfunction contributes to dysregulation of appetite, mood, and impulse control in the eating disorders. Altered Brain Serotonin
An amino acid essential to serotonin synthesis, is only available through diet. Tryptophan
Temporary ___ in dietary tryptophan may actually relieve symptoms of anxiety and dysphoria and provide a reward for caloric restriction. Drops
Antidepressants that boost serotonin do not improve mood symptoms until after and underweight client has been restored to __ of optimal weight. 90%
A potentially catastrophic tx complication involving a metabolic alteration in serum electrolytes, vitamin deficiencies, and sodium retention. Refeeding Syndrome
The tx goal for Anorexia is 90% of ideal body ____ , the weight at which most women are able to menstruate. weight
Has proven useful in reducing OCD behavior ager the patient has reached a maintenance weight. fluoxetine (Prozac)
Conventional antipsychotic; may be helpful for delusional overactive patients. chlorpromazine (Thorazine)
Atypical Antipsychotic; are helpful in improving mood and decreasing obsessional behaviors and resistance to weight gain. olanzapine (Zyprexa)
Includes precise meal times, adherence to the selected menu, observation during and after meals, and regularly scheduled weighing. Highly Structured Milieu
Monitor all trips to the bathroom after eating to prevent self induced vomiting (eating disorders). Close Monitoring
Often, patient _______ are linked to weight gain and treatment-plan adherence. Privileges
Hx may reveal impulsivity (steal/shoplift), compulsivity, chaotic family process w/ lack of nurturing, Parotid enlargement, and Russells sign. Bulimia Assessment
Medical complications of Bulimia Nervosa. Cardiac arrest, Gastric dilation, diminished chewing.
This patient will display significant shame, total loss of control, and highly sensitive to other perceptions of self. Bulimia (Thoughts/Behaviors)
Problems resulting from ____ are a first priority because electrolyte & fluid balance and cardiac function are affected. Purging
The most effective treatment for Bulimia Nervosa. Cognitive-Behavioral therapy
Interruptions of the binge-purge cycle, highly structured milieu, observation during and after meals, normalization of eating patterns, and appropriate exercise. Primary Goals for Bulimia
Readily establishes a therapeutic alliance w/ the nurse, because eating-disordered behaviors are seen as a problem. Bulimia Nervosa (Not seen in Anorexia)
Is a frequently noted as a symptom of an affective disorder (i.e. depression, bipolar, anxiety). Overeating
Patient will gain a minimum of __lb and a maximum of __lb weekly through inpatient stay. 2 to 3
Created by: BOjangles1006