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Mental Health 2
Eating Disorders
| Question | Answer |
|---|---|
| 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 |
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