eating and feeding disorders

Question 1

anorexia nervosa General assessment

Answer 1

• Perception of the problem
• Eating habits: chopping food, pushing food to one side
• History of dieting: extreme
• Methods used to achieve weight control: diretics, vomiting, ememas
• Value attached to a specific shape and weight: self esteem attached to shape
• Interpersonal and social functioning: difficult for friends and families to understand
• Mental status and - physiological parameters: feats of gainign wegith

Question 2

s/s of anorexia

Answer 2

cold extremities, fatigue, languo: downey hair, hypokalemia, NA decr, yellow skin, amenorhea, low weight

Question 3

restrciton anorexia

Answer 3

not had recurrent pinge and purg in last 3 months

Question 4

binge and purg

Answer 4

binge and purg or laxatives, vomiting, diretics in 3m

Question 5

anorexia nursing diagnosis

Answer 5

***Imbalanced nutrition
Decreased cardiac output
Risk for injury (electrolyte imbalance)
Risk for imbalanced fluid volume

disturbed body image, ineffective coping, chronic low self-esteem, and powerlessness.

Question 6

AN managed by

Answer 6

doc, impatient unit, eatinf disorder

Question 7

AN weight

Answer 7

below 75% should be 90%

body fat 10% or less bp systolic 90 or less, hr less than 50 temp 96 and dysthmias

Question 8

refeeding syndrome

Answer 8

food introduced too quickly, lethal treatment, electrolites go crazy
food needs to be introduced slowly

Question 9

refeeding syndrome s/s

Answer 9

fatigue, weakness, confusion, sleeping, increase bp, seizures, edema, coma, irreg hr

Question 10

AN acute care

Answer 10

• *** Suicidal ideation first
• Psychosocial interventions: no approved meds specifically, prozack is helpful for ocd behaviors
• Pharmacological interventions
• Integrative medicine: accupuncture, massage, herbal treatments
• Health teaching and health promotion
• Safety and teamwork

Question 11

AN safety and teamwork

Answer 11

weight respiration program

• not above 90%may stop treatment
• coping and probelm solving
• normalize eating specific habit
• schedule weights
• family go to bathroom

Question 12

bulimia appear

Answer 12

at or near ideal body weight

Question 13

bulimia physical signs

Answer 13

Enlarged parotid glands, dental erosion, and caries if the patient has been inducing vomiting.

Question 14

bulimia emotional and relationships

Answer 14

Impulsivity and compulsivity
Chaotic, non-nurturing family relationships
Familial and/or social instability
Difficult interpersonal relationships

Question 15

bulimia diagnoses

Answer 15

Decreased cardiac output, disturbed body image, ineffective coping, powerlessness, chronic low self-esteem, and social isolation

Question 16

bulimia outcomes

Answer 16

Electrolytes in balance; adequate cardiac output; satisfaction with body image; effective coping; verbalizes confidence; makes informed life decisions; expresses independent decision making; willingness to call others for assistance; develops sense of belonging

• interupt cycles of binge
• treatment working n coping skills
• meal plan
• relaxation tecniques
• healthy diet

Question 17

binge eating s/s

Answer 17

obese and overwight

• GI issues: bloating, heartburn, vomiting
• treatment done on an out pt. basis `

Question 18

binge eating nursing diagnsis

Answer 18

Imbalanced nutrition: more than body requirements

• Other nursing diagnoses are similar to bulimia nervosa and include disturbed body image, ineffective coping, anxiety, chronic low self-esteem, powerlessness, and social isolation.

Question 19

binge eating outcomes

Answer 19

The nurse will need to help these patients manage dysregulation of the entire gastrointestinal tract.

Question 20

binge eating acute care

Answer 20

Psychosocial interventions
Pharmacological interventions
Surgical interventions: bariatric surgery (for obesity)
Health teaching and health promotion
Teamwork and safety

Question 21

bariatric surgery

Answer 21

controversial option for the treatment of obesity. While all persons who are obese do not suffer from binge eating disorder, research has linked individuals with eating disorders that undergo this surgery to possible complications, such as impaired fasting glucose levels, high triglycerides, and urinary incontinence.

Question 22

dialetica therapy

Answer 22

mindfullness skills