Maladaptive Patterns Of Behavior Flashcards
Most common eating disorder
Anorexia Nervosa
A serious psych eating disorder CHA by:
- Restriction of energy intake leading to significantly low body weight
- Intense fear of gaining weight or becoming fat, even when underweight
- Distorted perception of Body Weight or Shape
Underweight & Relatively Thin in Body
Two types of Anorexia Nervosa
- Restricting Type
- Binge-Eating / Purging Type
A type of Anorexia Nervosa CHA by Weight Loss through dieting, fasting, or excessive exercise
Restricting Type of Anorexia Nervosa
A type of Anorexia Nervosa CHA by Episodes of Bingeing or Purging (vomiting, laxatives, etc.)
Binge-Eating / Purging Type of Anorexia Nervosa
What sign is present in Bulimia
“Russel’s Sign”
Socially Unaccepted Behavior
Maladaptive Behavior
Give at least 3 risk factors of Anorexia Nervosa (there are at least 12 identified)
- Genetic Disposition (family history, previous)
- Neurochemical Imbalances (serotonin, dopamine dysfunction)
- Perfectionism
- Low self-esteem
- Obsessive-compulsive traits
- Anxiety or depressive disorders
- Cultural pressure
- Media portrayal of Beauty Standards
- Peer pressure
- Bullying
- Dysfunctional Family Dynamics
- History of Trauma / Abuse
Behaviors that reflect too much Attachment / Excessive Attention to detail;
a risk factor of Anorexia Nervosa
Obsessive-Compulsive Traits
(During what phase) When will we initiate close monitoring for a patient who is manic-depressive with suicidal ideation
During Manic Phase of patient / just when depression just lifted
Give at least 7 Clinical Manifestations of Anorexia Nervosa (there are a total of 20 identified)
- Extreme weight loss (BMI less than 17.5)
- Amenorrhea
- Bradycardia
- Hypotension
- Lanugo
- Dry Skin
- Brittle Nails
- Constipation and Dehydration
- Electrolyte Imbalance
- Social Withdrawal
- Poor Concentration
- Food Rituals (cutting food to tiny pieces)
- Excessive Exercise
- Avoiding meals or Social Eating
- Wearing loose clothing to hide weight loss
- Denial or Hunger
- Distorted Body Image
- Intense fear of weight gain
- Preoccupation with food, weight, and dieting
- Mood Swings (cold feet)
When can we say that BP is significantly Low
When BP is 70/40 mmHg and below or Palpatory
Nursing Interventions for Anorexia Nervosa must be anchored to what (3 points identified)
- Establishing Trust
A. Using non-judgmental, empathetic approach
B. Build a therapeutic nurse-client relationship - Nutritional Support
A. Encourage gradual weight restoration through structured meal planning
B. Monitor meal consumption and prevent post-meal purging behavior - Behavioral Management
A. Contracting for meal completion and behavior monitoring
B. Limit excessive exercise and provide supervised activity - Psychological Support
A. Provide emotional support for body image and self-esteem
B. Use of cognitive behavioral strategies to challenge distorted belief - Education
A. Teach about the risk factors and dangers of malnutrition and importance of balance diet
B. Involvement of family members in psychoeducation and therapy
C. Provide health education about the disease, treatment, and safety - Safety Monitoring
A. Monitor for signs of suicidal ideation or self harm
B. Check for physical complications (ECG, electrolyte monitoring)
Which is therapeutic in Nursing Care, empathetic or sympathetic
Empathetic quality
If patient is mentally incapacitated, what alternative do we have
Include the family in health teaching, ensuring understanding from the folks
Nursing Priorities for Anorexia Nervosa, give at least 3
A. Medical Stabilization
-correct electrolyte imbalance and manage dehydration
-monitor for refeeding syndrome (shift of fluids …
B. Restore Nutritional Health
-implement a structured meal plan, coordinate with physician and dietitian
-monitor weight daily
C. Safety/Prevention of Harm
-close observation after meals to prevent purging
-monitor vital signs & lab values
D. Psychological Care
-address distorted thinking
Usually what drops for patients with Anorexia Nervosa
Sodium & Potassium
Difference between Psychologist and Psychiatrist
Psychologist - care on human behavior
Psychiatrist - care for patients with mental disorders
Medical Management for Anorexia Nervosa
Multidisciplinary Approach
-Psych Nurse
-Psychiatrist / Psychologist
-Nutritionist
-Physicians
Hospitalization Criteria for Anorexia Nervosa (give at least 3; total of 6 identified)
- Rapid or Severe Weight Loss
- BMI of less than 15
- Severe bradycardia, hypotension, hypothermia
- Electrolyte Imbalance
- Risk for Suicide / Self-harm
- Failure of Out-Patient Treatment
