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Mental Health 2

Eating Disorders

Incdividuals with ______ ____ refuse to maintain a miimally normal weight for height and expres intense fear of gaining weight. anorexia nervosa
Individuals with _____ ____ engage in repeated episodes of binge eating followed by inappropriate compensatory behaviors such as self induced vomiting; misuse of laxatives, diruretics, or other medications; fasting; or excessive exercise. bulimia nervosa
In depression and eating disorders, there are complex interrelationships of ______ ______ as well as abnormal patterns involving multiple systems and pathways. altered neutransmitters
The "core psychopathology" in both anorexia and bulimia includes low self-esteem and self -doubts about personal worth
Serotonin activity is ______ in low-weight individuals with anorexia. decreased
Cholecystokinin, an intestinal hormone, is present at low levels in bulimic persons
An intense fear of gaining weight, a disturbance in self-evaluation of shape/body weight or denial of low body weight an absence of 3 consecutive menstrual cycles or only if occur after hormones adminstered. Anorexia Nervosa
What are the types of anorexia nervosa? binge eating, purging or poor intake
Terror of gaining weight, being preoccupied with thoughts of food, viewing self as "fat", peculiar handling of food, rigorous exercise, self-induced vomiting, and judging self worth by their weight are symptoms of a person with anorexia nervosa
The goals of planning for a patient with anorexia nervosa are immediate stabilization and weight restoration
a potentially catastrophic treatment complication in which the demands of a replenished circulatory system overwhelm the capacity of a nutritionally depleted cardiac muscle, which results in cardiovascular collapse. refeeding syndrome
Because anorexia nervosa is a chronic illness, the plan will most likely require both inpatient and outpatient management
The mileu of an eating disorder unit is purposefully organized to assist the client in establishing more adaptive behavioral patterns, including normalization of eating
"He didn't ask me out, it must be because I am fat." is an example of what kind of cognitive distortion? overgeneralization
"I was happy when I wore a size 6. I must get back to that weight." is an example of what kind of cognitive distortion? overgeneralization
"If i have one popsicle, I must eat five." is an example of what kind of cognitive distortion? All-or-nothing thinking.
"If I allow myself to gain weight, I'll blow up like a balloon." is an example of what kind of cognitive distortion? All-or-nothing thinking.
"If I gainweight, my weekend will be ruined." is an example of what kind of cognitive distortion? Catastrophizing
"When people say I look better, I know they think I'm fat." is an example of what kind of cognitive distortion? Catastrophizing
"I know everybody is watching me eat." is and example of what kind of cognitive distortion? personalization
"I think people won't like me unless I'm thin." is an example of what kind of cognitive distortion? pesonalization
"I know I'm fat because I feel fat." is an example of what kind of cognitive distortion? emotional reasoning
"When I'm thin, I feel powerful." is an example of what kind of cognitive distortion? emotional reasoning
A single event affects unrelated situations. 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. catastrophizing
Events are overintepreted as having personal significance. personalization
Subjective emotions determine reality. emotional reasoning
This SSRI is useful in reducing the occurrence of relapse in anorexia nervosa when the client has reached a maintenance weight and is taking in adequate dietary typtophan, the precursor for serotonin. Prozac
Thi atypical antipsychotic agent is helpful in improving mood and in decreasing obsessional behaviors and resistance to weight gain experience in anorexia nervosa. Zyprexa
Repeated episodes of binge eating followed by inappropriate compensatory behaviors such as: self induced vomiting, misuse of laxatives or diuretics or other medications, fasting, excessive exercise. bulimia nervosa
What are the two types of bulimia nervosa? PURGING TYPE AND NON PURGING TYPE
Reoccuring episodes of binge eating. bulimia
Is it with anorexia or bulemia that the patient experiences recurring episodes of binge eating, feelings of a lack of control, and persistent over concern about their weight? bulimia
Is it bulimia or anorexia that the patient has an intense fear of gaining weight and a disturbed body image? anorexia
The patient with this eating disorder has an early onset of the disorder, has a very low weight, has amenorrhea, has a hormonal imbalance and constipation. anorexia
The person with this eating disorder had a late onset of the disorder, has a more normal weight, has menstrual irregularities, has fluid/lyte imbalances and GI problems. bulimia
Restricted intake, bingeing at times, purging through vomiting, laxatives, or diuretics, over exercise, extreme concern about appearance, perfectionistic traits, worth based on appearance, low self esteem, & social discomfort are shared features of bulimia and anorexia
It is not uncommon for these clients to have a history of impulsive stealing of items such as food, clothing, or jewelry. bulimia
What is the first priority in assessing the patient with bulimia nervosa? medical stabilization
What are the pertinent labs that witll be drawn for assessing the patient with bulimia nervosa? electrolyte levels, glucose level, thyroid function tests, complete blood count, and ECG.
Treatment of _______ comorbidity is important to the ocutcome of treating a paient with bulimia nervosa psychiatric
Binge eaters report a history of major depression significantly ______ than non-binge eaters. more often
Because patients gained back significant weight after discontinuing these meds, there is no advantage to adding the medicaitons to the cognitive-behavioral therapy. SSRI's, Prozac, and Adoex-P
A variant of compulsive overeating with no compensatory behaviors. binge eating disorder
The most effective treatment for individuals with binge eating disorders. cognitive-behavioral therapy
The health consequences of thes eating disorder are: high BP, high cholesterol levels, heart disease, secondary diabetes, gallbladder disease. Binge Eating Disorder
The core psychopathology in both _____ and _____ includes low self-esteem and doubts about self-worth that produce harsh self-judgment focused on the issue of weight. anorexia and bulimia
During the weight restoration phase, a client with anorexia nervosa should not gainn more than 5 lb per week to avoid pulmonary edema
A patient with anorexia who purges to promote weight loss would be at great risk for what electrolyte imbalance? hypokalemia
What medication is likely to be used in the treatment of clients with eating disorders? SSRI (fluoxetine/Prozac)
What risk factor for eating disorders is most commonly identified in the histories of adolescents with eating disorders? dieting
The client with bulimia differs from the client with anorexia nervosa by maintaining normal weight
Biological theorists suggest the cause of bulimia nervosa may be serotonin imbalance
A coping mechanism used excessively by clients with anorexia nervosa is denial
There is less family concern about the client with _____ because these clients appear physically normal, the weight is at or near normal, they eat with the family, and the purging is done in secret bulimia
The ______ client is noticed by the family for painful thinness and poor food intake anorexic
Systolic blood pressure of less than is one of the established criteria signaling the need for hospitalization of a client with anorexia nervosa 70 mm Hg