Eating Disorders

Question 1

types of eating disorders

Answer 1

anorexia nervosa
bulimia nervosa
binge eating

Question 2

bulimia nervosa

Answer 2

recurrent episodes of binge eating
recurrent inappropriate compensatory behavior to prevent wt gain
both occur at least twice/wk for 3 months

Question 3

types of bulimia nervosa

Answer 3

purging: vomit, laxatives, enemas, diuretics
nonpurging: fasting, over exercising

Question 4

bulimia nervosa assessment

Answer 4

medically stabilize!! (f/e, cardiac)
look at electrolytes, BS, thyroid, CBC, ECG
wt is usually at or slightly below normal
inspect parotid glands, dental erosion
hx of poor impulse control, chaotic relationships

Question 5

nursing dx for bulimia nervosa

Answer 5

problems resulting from purging are 1st priority

Question 6

interventions for bulimia nervosa

Answer 6

monitor physical
explore thoughts
educate about fasting and binge-purge cycle
monitor during and after meals
SSRI (fluoxetine)
CBT

Question 7

anorexia nervosa

Answer 7

intense fear of gaining weight
preoccupation with food
views self as fat even if emaciated
peculiar handling of food

Question 8

types of anorexia nervosa

Answer 8

restricting: during current episode, hasn’t binged or purged

binge eating/purging: regularly engaged in binge eating or purging