10 -14 Flashcards
(25 cards)
evidence-based treatment option for clients with anxiety and OCD-related disorders that focuses on identifying, challenging, and neutralizing unhelpful thoughts
cognitive behavioral therapy
cortisol’s realtionship to stress
helps to supply cells with amino and fatty acids for energy and diverts glucose from muscles to the brain to maintain vigliance
why is refeeding stage potentially deadly
potential complications
body shifts from a catabolic (state of breaking down tissues for nutrients) state to an anabolic (state of rebuilding tissues/growth) state, causing a shift in fluids and electrolytes
heart failure
arrhythmias
respiratory failure
muscle breakdown
death
ED Assessment SCOFF stands for:
Sick: do you make yourself sick or vomit after a meal because you feel uncomfortably full?
Control: do you feel loss of control over how much you eat
One Stone: has the pt lost 14lbs in a 3-month period?
Fat: do you believe you are fat even when others tell you that you are too thin?
Food: does food dominate your life?
Anorexia Nervosa assessment guideline:
Safety is priority concern- what do I determine
what to assess
-if medical or psychiatric condition warrants hospitalization
-if there are additional medical complications
-if there are additional psychiatric comorbidities, esp suicidal ideation and risk for self-harm
assess:
-pt’s level of insight about the disordered eating and feeling regarding weight
-pt’s and pts family’s understanding about the disease, therapeutic goals, and treatment plan
ED Nursing outcome: BN
-obtain and maintain normal electrolyte balance and stable VS
-refrain from binge-purge behaviors and suicidal ideation/behaviors
-demonstrate at least two new skills for managing stress/anxiety/shame in a non-food-related way
-no longer demonstrate high levels of anxiety related to fear of gaining weight
-demonstrate improved self-esteem by naming two personal strengths
-verbalize a desire to participate in ongoing treatment
ED Nursing outcomes: AN
-refrain from suicidal behaviors or self-harm
-normalize eating patterns by eating 75% of three meals per day plus two snacks
-achieve 85% to 90% of ideal body weight
-be free of physical complications
Cluster C:
a
p
o
d
avoidant
passive-aggressive
obsessive-compulsive
dependent
Cluster B:
b
a
h
n
borderline
antisocial
histrionic
narcissistic
Cluster A:
p
s
s
paranoid
schizoid
schizotypal
magical thinking
aloof and isolated
metaphoric speech
schizotypal
suspicious
cold
humorless
paranoid
few friends; inability to establish relationships
loner; emotionally cold
indifferent to praise, criticism
schizoid
self-destructive
impulsive
erratic emotions; instability; impulsive
sexual; unstable and sexual relationships
extreme intensity
always in a crisis
borderline
breaks laws
no remorse or guilt
appears friendly on surface
antisocial
impulsive
false emotions
dramatic
inappropriate sexual behavior
center of attention
histrionic
can’t apologize
grandiose
exploit others to fulfill own needs
emotions are not erratic
narcissistic
lack of confidence
dependent
social withdrawl
awkward and uncomfortable in social situations
avoidant
perfectionist
preoccupied with details, rules, schedules
obsessive-compulsive
forceful
stubborn
dependent on others
passive-aggressive
If pt has Personality Disorder their behavior would look like:
inflexible and unpredictable
coping strategies primitive and immature
maladaptive patterns of behavior, lack of insight about these patterns of behavior contribute to distress, and tendency to blame others
which type of anxiety:
occurs in normal experiences of everyday living; pt sees, hears,and grasps more information and problem solving
mild anxiety
which type of anxiety:
person’s perceptual field narrows, leading to selective inattention
ability to think clearly is somewhat hampered but learning and problem-solving can still take place
signal that something in a person’s life needs attn
moderate anxiety
