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psyche 2nd term > Eating disorders > Flashcards

Eating disorders Flashcards

1
Q

more than just about food. It is a type of
mental illness that involves unhealthy thoughts and behavior
towards food, weight, and body shape

A

eating disorders

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2
Q

Ingestion of non-nutritive and non-edible
substances

A

pica

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3
Q

Repeated regurgitation and rechewing of food

A

ruminating

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4
Q

It is the failure to eat adequately

A

feeding disorder

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5
Q

Eating of unusual large amount of food in a
relatively short period of time

A

binge

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6
Q

To eliminate food by inducing vomiting,
enema, laxative, and diuretics

A

purge

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7
Q

A person made excessively thin by the lack of
nutrition

A

emaciated

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8
Q

disorder characterized by binge eating, over
concerned with body shape and weight

A

bulimia

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9
Q

A disorder characterized by restrictive eating
resulting in emaciation, disturbance in body
image and intense fear of becoming obese

A

anorexia

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10
Q

It is the consumption of more calories than
what the body needs.

A

obesity

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11
Q

A person with a mother or sister who has had
anorexia nervosa are likely to develop the
disorder

A

biological factor

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12
Q

A person with eating disorder tends to be
perfectionist, with unrealistic expectation of
themselves and others

A

psychological factor

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13
Q

Some person with eating disorder belongs to
overprotective family

A

family factor

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14
Q

A person who are into relationship that they
need to be thin to be continually accepted

A

social factor

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15
Q

In westernized country where female are
pressured to be thin to be accepted

A

cultural pressures

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16
Q

People who are happy and successful are
almost always portrayed by actors or models
who are young, thin, and toned

A

media factors

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17
Q

People who are socialites, dancers, models,
gymnast, actress, entertainers, and male
homosexuals

A

lifestyle

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18
Q

Person who usually survived tends to have
eating disorders

A

physically and sexually abused

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19
Q

Nursing Diagnosis

A

o Alteration in health maintenance
o Altered nutrition: less than body requirement
o Altered nutrition: more than body requirement
o Anxiety
o Body image disturbances
o Ineffective family coping: compromised
o Ineffective individual coping
o Self-esteem disturbances

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20
Q

The relentless pursuit of thinness or weight phobia
o Refusal to eat, relentless pursuit to thinness, weight
phobia

A

Anorexia Nervosa

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21
Q

Defense mechanism for Anorexia Nervosa

A

Denial

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22
Q

One of the causes of anorexia nervosa is mood (appetite mo)

A

serotonin

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23
Q

Causes of anorexia nervosa: pinipilit ni mother ang gusto niya

A

dominant mother

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24
Q

causes of anorexia nervosa: sexual drive
(mababa), naapektuhan din appetite at hormones

A

disturbances in the hypothalamus

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25
Q

10 Characteristics of Anorexia Nervosa

A

a. Obsessive
b. Underweight
c. Adolescent
d. Introvert/ low self-esteem
e. Denies disorder
f. Deceitful vomiting, enema, diuretics, laxatives
g. Perfectionist
h. Suicidal, sleep 2-3 hours
i. People pleaser – acceptance ng mga nasa paligid
j. Dichotomous thinking – iba yung iniisip mo sa tingin mo
(mirror = payat ka – tingin mo mataba ka)

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26
Q

Behavior (AN): often affected

A

Adolescent and youngest female child

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27
Q

how many percent die and half of them are suicidal in AN?

A

10-20%

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28
Q

They eat in social functioning but purge themselves. But
avoids social functions gradually.

A

Anorexia Nervosa

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29
Q

As a child, they are chubby or overweight

A

Anorexia Nervosa

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30
Q

o A perfect girl, ideal, conscientious, hardworking and
people pleasers

A

Anorexia Nervosa

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31
Q

o Depending to family
o Focus in losing weight
o Depress, irritable, withdraws and decrease libido

A

Anorexia Nervosa

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32
Q

As disorder progresses they become deceitful, stubborn,
hostile and manipulative

A

Anorexia Nervosa

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33
Q

8 effects of Anorexia Nervosa

A

a. Emaciated
b. Constipation
c. Decrease libido
d. Dry skin/falling hair
e. Amenorrhea
f. Electrolyte imbalances (mababa yung K = Cardiac Arrest)
g. Susceptible to infection
h. Death due to cardiac arrest

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34
Q

what to do first before medication to patients with anorexia nervosa?

A

Correct electrolytes

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35
Q

11 nursing care for patients with Anorexia Nervosa

A
  1. Convey warmth and sincerity (trust)
  2. Monitor I and O (purge)
  3. Listen (afraid to show emotions)
  4. Be honest (distrustful)
  5. Set limits (manipulative)
  6. Teach patient about the disorder (denial)
  7. Avoid long silence (rejection)
  8. Be consistent (trust)
  9. Daily weight taking (not facing the scale)
  10. Involve family in treatment process (sila yung dahilan)
  11. Positive reinforcement (weight gained)
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36
Q

12 nursing management for Anorexia Nervosa

A
  1. Use reinforcement to help patient gain weight
  2. Acceptance and nonjudgmental
  3. Listen to the patient
  4. Be honest
  5. Avoid long silence
  6. Close observation
  7. Weigh patient not facing the weighing scale
  8. Set limits
  9. Let them participate in their planning process
  10. Teach them about their illness
  11. Be consistent
  12. Involve family in the treatment
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37
Q

How to establish eating pattern to patients with anorexia nervosa

A
  1. Sit with the patient during meals and snack time
     May possibility sila maghoard
     Magstay ka kahit gano katagal
     Kung lalabas siya or iihi, sabihin mo na before
    meals (kasi baka isuka or itapon)
  2. Offer CHON and CHO food patient prefers
  3. Adhere to the treatment program
  4. Observe patient after meals or snacks
  5. Be aware to hide or discard food
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38
Q

for anorexia nervosa, first na binibigay kasi lower yung adverse effects

A

SSRI

39
Q

what medication after electrolyte imbalance is corrected for patients with anorexia nervosa?

A

Antidepressants

40
Q

Nursing care for the medications for patients with anorexia nervosa

A

a. First is to correct electrolyte imbalances
b. Then give antidepressant (SSRI or mood elevators

41
Q

3 antidepressants for anorexia nervosa

A

Prozac, zoloft, paxil

42
Q

full effect of antidepressants for patients with anorexia nervosa

A

2-4 weeks

43
Q

wash out period for anorexia nervosa

A

2 weeks

44
Q

4 medication Side effects for anorexia nervosa

A
  1. Nausea (administer with meals)
  2. Diarrhea (low dosage/hydration)
  3. Insomnia (adjust time of intake – morning)
  4. Dry mouth (water candy)
45
Q

AN: toxic (kapag super lala = TCA agad onsetad of SSRI
or pag readmitted)

A

TCA

46
Q

AN: Fatal

A

MAO

47
Q

AN: = ↑ serotogenic effect
 Naban to before = sife effect = stiffening,
yellowish sclera

A

Lithium

48
Q

AN: what to give to contradict EPS?

A

Anti parkinsons

49
Q

AN: Drug interaction

A

Antipsychotic - ↑ EPS – Extra Pyramidal Side Effects (AIMS
– abnormal involuntary movement scale)

50
Q

AN: pregnant; cleft palate

A

low dosage; high dosage

51
Q

 Spasms in discrete muscle groups, such as the
neck muscles (torticollis) or eye muscles
(oculogyric crisis)
 May also be accompanied by protrusion of the
tongue, dysphagia, and laryngeal and
pharyngeal spasms

A

EPS: ACUTE DYSTONIC REACTIONS

52
Q

EPS (AN): Acute dystonic reactions medications

A

 Diphenhydramine (Benadryl) – IM or IV
 Benztropine (Cogentin) – IM

53
Q

 Restless movement, pacing, inability to remain
still, and the client’s report of inner restlessness
 Usually develops when the antipsychotic is
started or when the dose is increased

A

EPS: AKATHISIA

54
Q

EPS (AN): medications for AKATHISIA

A

Beta-blockers such as propranolol (most
effective), and benzodiazepines

55
Q

 Includes shuffling gait, masklike facies, muscle
stiffness (continuous), or cogwheeling rigidity
(ratchet-like movements of joints), drooling and
akinesia (slowness and difficulty initiating
movement)
-Increase dosage of an antipsychotic medication:
Benzotropine (Cogentin), Trihexyphenidyl
(Artane), Biperiden (Akineton)., Procyclidine
(Kemadrin), Amantadine (Symmetrel),
Diphenhydramine (Benadryl), Dizepam
(Valium), Lorazepam (Ativan), and Propranolol
(Inderal)

A

EPS: Pseudo parkinsonism, or neuroleptic-induced parkinsonism

56
Q

are reversible movement disorders induced by neuroleptic
medication

A

EPS

57
Q

 Used to screen for symptoms of movement disorders
 Observed in several positions, and the severity is rated
from 0 to 4
 Can be administered 3 to 6 months

A

AIMS

58
Q

3 Therapies for AN

A

o Family therapy (kasi sila ang cause)
o Individual therapy (hindi sila makaverbalize = denial)
o Group therapy (include healed – give tips and
encouragement)

59
Q

o The diet-binge-purge disorder
o Eating large amount of food in a short period of time
o Binge-purge eating disorder

A

BULIMIA NERVOSA

60
Q

Causes of Bulimia Nervosa

A

o Increased serotonin
o Lack of care from the family (rebelling from family

61
Q

characteristics for Bulimia Nervosa

A

o Obsessive compulsive
o Normal or overweight
o Late adolescent, early adulthood
o Extrovert/ low self-esteem
o Aware of the disorder and ashamed
o Uncontrolled impulses
o Hoarding

62
Q

calluses on knuckles or back of hand due
to repetitive self-induced vomiting over a long period of
time

A

BN: Russel’s Sign

63
Q

8000 cal in 2 hours or 50 000 cal in a day

A

Bulimia Nervosa

64
Q

6 Effects of Bulimia Nervosa

A

o Detal problem
o Vomiting
o Use and abuse of laxatives, pills, and diuretics
o ↑ peristalsis
o Rectal bleeding
o Constipation

65
Q

4 Nursing care for bulimia nervosa

A
  1. Accept patient as a worthwhile person
  2. Encourage patient to discuss positive qualities about
    themselves
  3. Inform patient to approach nurse when they feel the
    urge to binge
  4. Encourage group activity
    *Patient with this kind of disorder is willing to be treated so they
    cooperate
66
Q

Medications for Bulimia Nervosa

A
  1. Antidepressant (SSRI) mood elevators – Tofraile or
    Prozac
    Note: 2-4 weeks full effect
67
Q

Therapies for Bulimia Nervosa

A

o Family Therapy
o Behavioral Therapy

68
Q

APPEARANCE: Decrease normal
weight or
underweight

A

Anorexia Nervosa

69
Q

APPEARANCE: Normal weight or
overweight

A

Bulimia nervosa

70
Q

AGE: 14-8 years old, they
are younger

A

ANOREXIA NERVOSA

71
Q

AGE: 15-25 years old, they are
older

A

BULIMIA NERVOSA

72
Q

FAMILY: Rigid/controlled

A

ANOREXIA NERVOSA

73
Q

FAMILY: More conflicts, violent

A

BULIMIA NERVOSA

74
Q

CHARACTER: Introvert/isolates

A

ANOREXIA NERVOSA

75
Q

CHARACTER: Extrovert/sexually
active/on drugs/stealing

A

BULIMA NERVOSA

76
Q

AWARENESS: Denies

A

ANOREXIA NERVOSA

77
Q

AWARENESS: Aware of the disorder

A

BULIMIA NERVOSA

78
Q

SIDE EFFECTS OF STABILIZATION: - Abdominal
discomfort
- Edema
- Constipation
- Food
- Swelling of Fingers

A

ANOREXIA NERVOSA

79
Q

SIDE EFFECTS OF STABILIZATION: - Feels bloated
- Immediate weight gain
- Craving for particular
- Diarrhea
- Digestive distress

A

BULIMIA NERVOSA

80
Q

ETIOLOGY FOR OBESITY

A
  1. Lack of adequate variety of food to eat
  2. Side effects of steroids
  3. Compulsive eating
81
Q

TYPES OF OBESITY: obese since childhood

A

DEVELOPMENTAL

82
Q

TYPE OF OBESITY: maladaptive, occur later, used as coping styles
when in stress

A

REACTIVE

83
Q

5 Nursing Management for OBESITY

A
  1. Assess suicidal thoughts
  2. Assess depression
  3. Provide one on one session
  4. Provide activity
  5. Provide group activity
84
Q

Behavior occurs between 2-3 years and at least one month

A

PICA

85
Q

possible causes for PICA

A

Mentally retarded,
neglect,
poor family supervision

86
Q

Obsessed with exercise and engaged in it beyond the
requirement for good health

A

ANOREXIA ATHLETICA

87
Q

o Bigorexia
o A disorder opposite anorexia
o Client worry excessively that they are too small,
undeveloped and frail muscles

A

MUSCLE DYSMORPHIA

88
Q

A pathological fixation on eating “proper, pure or
superior” food

A

ORTHOREXIA NERVOSA

89
Q

Lack of appetite for breakfast because client is
preoccupied eating late in the day or night

A

night eating syndrome

90
Q

A client who eats while asleep

A

Nocturnal Sleep-related

91
Q

A client eats, swallows and regurgitates food back into the
mouth, chewed and swallowed

A

Ruminating Syndrome

92
Q

An obsession with fine food including its purchase,
preparation, presentation and consumption

A

GOURMAND SYNDROME

93
Q

A congenital problem usually associated with mentally
retarded which includes incessant eating

A

PRADER-WILLI SYNDROME

psyche 2nd term (4 decks)

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