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Med Surg I Chapt 20
Mental Health Eating Disorder
| Term | Definition |
|---|---|
| Obesity has been identified as a major health problem in the United States; some call it an epidemic | |
| It was not until the 1960s, however, that anorexia nervosa was established as a mental disorder. | |
| Bulimia nervosa was first described as a distinct syndrome in 1979. | |
| clients with anorexia eating too little or starving themselves | |
| clients with bulimia eating chaotically, | |
| clients with binge eating disorder eating too much. | |
| Anorexia nervosa is a life-threatening eating disorder | |
| Physical Problems of Anorexia Nervosa | Muscle atrophy Amenorrhea lanugo hair on body Amenorrhea Constipation |
| Purging involves compensatory behaviors designed to eliminate food by means of self-induced vomiting | |
| Bulimia ppl want help . they eat then feel guilty then throw up.. a repetitive cycle | |
| Anorexia do not want help they think they healthy | |
| Binge eating disorder frequently affects people over age 35 years, and it occurs more often in male adults than does any other eating disorder. | |
| Night eating syndrome is characterized by morning anorexia, evening hyperphagia (consuming 25% of daily calories after the last evening meal), and nighttime awakenings (at least once a night) to consume snacks. | |
| Eating or feeding disorders in childhood include pica, which is persistent ingestion of nonfood substances | |
| rumination, or repeated regurgitation of food that is then rechewed, reswallowed, or spat out | |
| Orthorexia nervosa, sometimes called orthorexia, is an obsession with proper or healthful eating | It is not formally recognized in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, text revision |
| Comorbid psychiatric disorders are common in clients with anorexia nervosa and bulimia nervosa. | |
| satiety (satisfaction of appetite | |
| Autonomy, or exerting control over oneself and the environment, may be difficult in families that are overprotective or in which enmeshment (lack of clear role boundaries) exists. | |
| Body image is how a person perceives their body, that is, a mental self-image | |
| Body image disturbance occurs when there is an extreme discrepancy between one’s body image and the perceptions of others and extreme dissatisfaction with one’s body image | looking in the mirror and thinking they see fat when they are skinny |
| Adversity is defined as physical neglect, sexual abuse, or parental maltreatment that includes little care, affection, and empathy as well as excessive parental control, unfriendliness, or overprotectiveness. | |
| Bullying and peer harassment are also related to an increase in disordered eating habits. | |
| Anorexia nervosa typically begins between the ages of 14 and 18 years | |
| bulimia treatment is Prozac (Fluoxetine) | |
| Treating clients with anorexia nervosa with an SSRI antidepressant such as fluoxetine (Prozac) may present which problem? | Fluoxetine can cause appetite suppression and weight loss. |
| Which is an example of a cognitive–behavioral technique? | Self-monitoring |
| Which is not a goal for treating the client who is severely malnourished and has anorexia nervosa? | Correction of body image disturbance |
| The nurse is evaluating the progress of a client with bulimia. Which behavior would indicate that the client is making positive progress? | Supervise the client closely for 2 hours after meals and snacks |
| A teenager is being evaluated for an eating disorder. Which finding would suggest anorexia nervosa? | Unrealistic perception of body size |