Eating Disorders
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| A single event affects unrelated situations; “He didn’t ask me out. It must be because I’m fat.” | Overgeneralization
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| Reasoning is absolute and extreme, in mutually exclusive terms of black or white, good or bad. | All-or-Nothing Thinking
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| The consequences of an event are magnified; “If i gain weight my weekend will be ruined.” | Catastrophizing
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| Events are over interpreted as having personal significance; “I know everyone is watching me eat. I think people wont like me unless i am thin.” | Personalization
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| Subjective emotions determine reality; “I know I’m fat, because i feel fat. When I am thin i feel powerful.” | Emotional Reasoning
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| Refuse to maintain a minimal normal weight for height and express intense fear of gaining weight. | Anorexia Nervosa
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| Engage in repeated episodes of binge eating followed by inappropriate compensatory behaviors, such as self-induced vomiting. | Bulimia Nervosa
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| Repeated episodes of binge eating that do not regularly use compensatory behaviors, such as self-induced vomiting, laxatives, diuretics, and other medications. | Binge Eating Disorder
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| Anorexia may start early (between __ and __), but Bulimia is really seen in children younger than 12 years old. | 7 & 12
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| There is some evidence that the _____ the person is when anorexia symptoms begin, the better the chance for positive outcomes. | Younger
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| This dysfunction contributes to dysregulation of appetite, mood, and impulse control in the eating disorders. | Altered Brain Serotonin
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| An amino acid essential to serotonin synthesis, is only available through diet. | Tryptophan
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| Temporary ___ in dietary tryptophan may actually relieve symptoms of anxiety and dysphoria and provide a reward for caloric restriction. | Drops
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| Antidepressants that boost serotonin do not improve mood symptoms until after and underweight client has been restored to __ of optimal weight. | 90%
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| A potentially catastrophic tx complication involving a metabolic alteration in serum electrolytes, vitamin deficiencies, and sodium retention. | Refeeding Syndrome
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| The tx goal for Anorexia is 90% of ideal body ____ , the weight at which most women are able to menstruate. | weight
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| Has proven useful in reducing OCD behavior ager the patient has reached a maintenance weight. | fluoxetine (Prozac)
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| Conventional antipsychotic; may be helpful for delusional overactive patients. | chlorpromazine (Thorazine)
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| Atypical Antipsychotic; are helpful in improving mood and decreasing obsessional behaviors and resistance to weight gain. | olanzapine (Zyprexa)
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| Includes precise meal times, adherence to the selected menu, observation during and after meals, and regularly scheduled weighing. | Highly Structured Milieu
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| Monitor all trips to the bathroom after eating to prevent self induced vomiting (eating disorders). | Close Monitoring
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| Often, patient _______ are linked to weight gain and treatment-plan adherence. | Privileges
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| Hx may reveal impulsivity (steal/shoplift), compulsivity, chaotic family process w/ lack of nurturing, Parotid enlargement, and Russells sign. | Bulimia Assessment
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| Medical complications of Bulimia Nervosa. | Cardiac arrest, Gastric dilation, diminished chewing.
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| This patient will display significant shame, total loss of control, and highly sensitive to other perceptions of self. | Bulimia (Thoughts/Behaviors)
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| Problems resulting from ____ are a first priority because electrolyte & fluid balance and cardiac function are affected. | Purging
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| The most effective treatment for Bulimia Nervosa. | Cognitive-Behavioral therapy
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| Interruptions of the binge-purge cycle, highly structured milieu, observation during and after meals, normalization of eating patterns, and appropriate exercise. | Primary Goals for Bulimia
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| Readily establishes a therapeutic alliance w/ the nurse, because eating-disordered behaviors are seen as a problem. | Bulimia Nervosa (Not seen in Anorexia)
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| Is a frequently noted as a symptom of an affective disorder (i.e. depression, bipolar, anxiety). | Overeating
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| Patient will gain a minimum of __lb and a maximum of __lb weekly through inpatient stay. | 2 to 3
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