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Med Surg I Chapt 20

Mental Health Eating Disorder

TermDefinition
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
Created by: Daarina Jones
 

 



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