Eating Disorders

Question 1

appetite regulation center

Answer 1

hypothalamus

Question 2

eating behaviors are influenced by:

Answer 2

society
culture

Question 3

more prevalent: bulimia nervosa or anorexia nervosa

Answer 3

bulimia nervosa

Question 4

obesity has been defined as BMI of:

Answer 4

30 or greater

Question 5

symptoms of anorexia nervosa

Answer 5

amenorrhea
feelings of anxiety or depression
gross distortion of body image
preoccupation with food
refusal to eat
hypothermia
bradycardia
hypotension
edema
lanugo
metabolic changes

Question 6

weight loss for anorexia nervosa

Answer 6

usually more than 15% of expected weight

Question 7

reasons for weight loss in anorexia nervosa

Answer 7

Reduction of food intake
Extensive exercising
Possible self-induced vomiting
Possible abuse of laxatives or diuretics

Question 8

episodic, uncontrolled, compulsive , rapid ingestion of large quantities of food over a short period

Answer 8

binging
sign of bulimia nervosa

Question 9

binging is followed by:

Answer 9

purging behaviors to rid body of excess calories

Question 10

symptoms of purging behaviors

Answer 10

Self-induced vomiting or the misuse of laxatives, diuretics, or enemas
Inappropriate and compensatory behaviors

Question 11

weight with bulimia nervosa

Answer 11

within a normal weight range, some slightly underweight, and some slightly overweight

Question 12

symptoms assessed with bulimia nervosa

Answer 12

fasting
excessive exercise
depression
anxiety
substance misuse
excessive vomiting
laxative or diuretic abuse
dehydration and electrolyte imbalances

Question 13

Individual binges on large amounts of food, as in bulimia nervosa

Answer 13

binge eating disorder

Question 14

how does binge eating disorder differ from bulimia nervosa

Answer 14

individual does not engage in behaviors to rid the body of the excess calories

Question 15

percentage of individuals with binge eating disorder have history of:

Answer 15

depression

Question 16

genetic predisposing factors for eating disorders

Answer 16

Hereditary predisposition to eating disorders possible
Anorexia nervosa is more common among sisters and mothers of those with disorder
Possible chromosomal linkage sites

Question 17

Primary hypothalamic dysfunction in anorexia nervosa

Answer 17

Neuroendocrine abnormalities

Question 18

Bulimia nervosa may be associated with serotonin and norepinephrine
Anorexia nervosa may be associated with high levels of endogenous opioids

Answer 18

Neurochemical influences

Question 19

BMI range for normal weight

Answer 19

20-24.9

Question 20

anorexia nervosa is BMI of

Answer 20

17 or less
less than 15 in extremes

Question 21

BMI equation

Answer 21

weight (kg) / height (m2)

Question 22

outcomes for clients in eating disorders

Answer 22

Has achieved and maintained at least 80% of expected body weight
Has vital signs, blood pressure, and laboratory serum studies within normal limits
Verbalizes importance of adequate nutrition
Verbalizes knowledge regarding consequences of fluid loss caused by self-induced vomiting (or laxative/diuretic abuse) and importance of adequate fluid intake
Verbalizes events that precipitate anxiety and demonstrates techniques for its reduction

Question 23

planning and implementation where hospitalization may be necessary

Answer 23

Malnutrition
Dehydration
Severe electrolyte imbalance
Cardiac arrhythmia or severe bradycardia
Hypothermia
Hypotension
Suicidal ideation

Question 24

planning and implementation for imbalances nutrition/deficient fluid volume

Answer 24

Determine appropriate calories to provide adequate nutrition and weight gain
Do not focus on food and eating specifically
Keep a strict record of intake and output
Goals and interventions

Question 25

planning and implementation for Disturbed body image/low self-esteem

Answer 25

Promoting feelings of control Helping identify positive attributes Goals and interventions

Question 26

evaluation for the client with anorexia nervosa or bulimia nervosa

Answer 26

Is the client free of signs and symptoms of malnutrition and dehydration? Have there been any attempts to self-induce vomiting? Has the client admitted that a problem exists and that behaviors are maladaptive?

Question 27

Evaluation for the client with binge eating disorder and associated obesity

Answer 27

Has the client shown a steady weight loss since starting the new eating plan? Does the client verbalize a relapse prevention plan to avoid triggers and abstain from binging?

Question 28

Evaluation for the client with anorexia, bulimia, or binge eating disorder

Answer 28

Has the client been able to develop a more realistic perception of body image? Has the client acknowledged that past self-expectations may have been unrealistic?

Question 29

successes for treatment of eating disorders have been observed when the client:

Answer 29

Is allowed to contract for privileges based on weight improvement Has input into care plan Clearly sees possible treatment choices

Question 30

individual therapy as treatment for eating disorders

Answer 30

Helpful when underlying psychological problems are contributing to maladaptive behaviors Not therapy of choice for clients with eating disorders

Question 31

family therapy as treatment for eating disorders

Answer 31

Maudsley approach-positive parent role Involves educating the family about disorder Assesses family’s impact on maintaining disorder Assists in methods to promote adaptive functioning by client

Question 32

Medications that have been tried with some success for anorexia nervosa:

Answer 32

Fluoxetine (Prozac) Clomipramine (Anafranil) Cyproheptadine (Pariactin) Chlorpromazine (Thorazine) Olanzapine (Zyprexa)

Question 33

Medications that have been tried with some success for bulimia nervosa:

Answer 33

Fluoxetine (Prozac) Imipramine (Tofranil) Desipramine (Norpramine) Amitriptyline (Elavil) Nortriptyline (Aventyl) Phenelzine (Nardil)

Question 34

Medication that has been tried with some success for BED with obesity

Answer 34

Topiramate (Topamax)

Question 35

Medications that have been tried with some success for obesity:

Answer 35

Fluoxetine (Prozac) Various anorexiants (central nervous system stimulants) Lorcaserin (Belviq) Phentermine/topiramate (Qsymia)