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EDs
| Term | Definition |
|---|---|
| Anorexia Nervosa | Life-threatening eating disorder with starvation and fear of weight gain |
| Distorted Body Image | Believing you are overweight when underweight |
| Restricting Type | Weight loss from dieting, starvation, or excessive exercise |
| Binge/Purge Type | Restricting food plus bingeing or purging |
| Physical Manifestations | Bradycardia (slow HR), hypotension (low BP), dysrhythmias (abnormal heart rhythm), amenorrhea (no period), constipation, bloating, lanugo (soft hair), edema (swelling), muscle wasting, osteoporosis (weak bones) |
| Psychological Signs | Perfectionism, low self-esteem, need for control, food obsessions, social isolation |
| Risk Factors | Trauma, family conflict, low self-esteem, diet culture, media pressure, appearance-focused sports |
| Daily Weights | Monitors nutrition progress |
| Observe Meals | Prevents hiding or avoiding food |
| Supervise After Meals | Prevents purging |
| Monitor Cardiac Status | Malnutrition can cause dangerous heart problems |
| Set Consistent Limits | Prevents manipulation/splitting |
| Encourage Feelings | Replaces unhealthy coping |
| Reinforce Nonappearance Strengths | Builds self-esteem beyond looks |
| NCLEX Tip | Clients often believe their behavior is normal |
| Bulimia Nervosa | Recurrent binge eating followed by purging behaviors |
| Compensatory Behaviors | Vomiting, laxatives, diuretics, fasting, excessive exercise |
| Weight | Usually normal or near normal weight |
| Binge-Purge Cycle | Stress → binge → guilt/shame → purge → temporary relief → repeat |
| GI Problems | Esophageal irritation, reflux, salivary gland swelling |
| Dental Problems | Enamel erosion, cavities, chipped teeth |
| Metabolic Problems | Hypokalemia (low potassium), dehydration, electrolyte imbalance, dysrhythmias |
| Associated Behaviors | Secret eating, impulsivity, shame, depression, anxiety, self-harm risk |
| CBT | Best treatment; changes distorted thinking and stops binge-purge cycle |
| Fluoxetine (Prozac) | Common medication used |
| Monitor Electrolytes | Vomiting causes dangerous imbalances |
| Assess Suicide Risk | Depression commonly occurs |
| Healthy Coping Skills | Helps reduce binge triggers |
| Avoid Judgment | Shame worsens behaviors |
| Structured Eating Schedule | Helps normalize eating |
| Encourage Support Systems | Reduces isolation |
| Orthorexia | Obsession with “pure” or healthy eating |
| Orthorexia Signs | Avoiding food groups and strict food rules |
| DSM-5 | Orthorexia is not officially recognized |
| Binge Eating Disorder | Recurrent binge eating without purging |
| Binge Eating Disorder Signs | Shame and guilt after eating |
| Associated Problems | Obesity, anxiety, depression |
| Shared Traits | Low self-esteem, perfectionism, body dissatisfaction, anxiety/depression, need for control |
| NCLEX Must Know | Eating disorders can cause dysrhythmias, electrolyte imbalance, malnutrition, organ damage, suicide risk |
| Healthy Body Image | Counters societal pressure |
| Coping Skills | Replaces maladaptive behaviors |
| Family Involvement | Improves support system |
| Self-Worth Beyond Appearance | Improves identity and self-esteem |
| Therapy Participation | Supports long-term recovery |
| Relapse | Eating disorders commonly recur |