T3 - Blueprint 1 (Josh)

Question 1

Which Personality Disorder?

detachment, social withdrawal

indifference to other’s feelings

restricted emotional range

loner

Answer 1

Schizoid

Question 2

Anticonvulsants used with Bulimia

Answer 2

Toprimate

Question 3

Cluster B Personality Disorders are associated with —

Answer 3

an abnormal prefrontal cortex

dysfunction in the right temporal lobe

dysfunction within the limbic system

Question 4

Which Personality Disorder?

extreme need to be taken care of

passive compliance

defers/avoids responsibility

difficulty making decisions

Answer 4

Dependent

Question 5

Physiological effects of Anorexia Nervosa

Answer 5

Emaciation

Hypothermia

Bradycardia/Hypotension

Edema (lack of protein)

Lanugo; dry, brittle hair

Amenorrhea

Jaundice

Constipation

Heart Failure

Abnormal Labs

Question 6

Which personality disorder?

vain

attention seeking

praise seeking

dramatic

demanding

manipulative

Answer 6

Histrionic

Question 7

What are the Antipsychotics?

Answer 7

risperidone

olanzapine

haloperidol

Question 8

What is the first priority nursing intervention w/ Anorexia Nervosa?

Answer 8

Nutrition

Question 9

How often does binge eating and purging occur?

Answer 9

once a week for 3 mths

Question 10

What kind of sense does the Bulimia client have while eating?

Answer 10

A sense of LACK OF CONROL over eating during the episode (feeling that one cannot stop eating or control what or how much one is eating)

Question 11

— is characterized by binging and purging.

Answer 11

Bulimia Nervosa

Question 12

Who does Anorexia Nervosa predominately affect?

Answer 12

girls 12-30 yrs old

Question 13

Cluster – Personality Disorders are Odd or Eccentric.

Answer 13

A

Question 14

What is Splitting?

Answer 14

tend to have stormy, intense relationships alternating b/t all good or all bad view of others

unable to incorporate positive and negative attributes into a whole picture of an individual

may shift from great admiration to intense anger or dislike

Question 15

Object Constancy

Answer 15

The ability to form a lasting bond of trust with a primary caregiver is theorized to be an important landmark in early human development and a critical aspect to personality development

Question 16

Will bulimia clients be severely underweight?

Answer 16

NO

normal or just slightly underweight

Question 17

Splitting is a characteristic of —

Answer 17

Borderline Personality Disorder

Question 18

Risk factors for Bulimia

Answer 18

A person in family has an eating disorder

Overly concerned with weight/struggles with depression

Is overweight and starting a restrictive diet

Perfectionism traits

Cultural factors–admiration of thinness

Question 19

What are the SSRIs?

Answer 19

fluoxetine

sertraline

citalopram

paroxetine

excitalopram

Question 20

Which type of approach when speaking to Paranoid Personality?

Answer 20

use a straightforward, honest, professional approach rather than a casual or friendly approach

Question 21

Why are Sympathomimetics used with obesity?

Answer 21

they have anorexia inducing effects

Question 22

Low levels of this neurotransmitter may play a role in compulsive eating.

Answer 22

5-HT

Question 23

– is an eating disorder that can lead to obesity.

Answer 23

Binge Eating Disorder (BEO)

Question 24

Which Personality Disorder?

mistrustful, suspicious, watchful

irritable, short-fuse, bad temper

hostile temper

Answer 24

Paranoid

Question 25

Which Personality Disorder? instability in interpersonal relationships, mood, behavior, and self-image emotions overwhelm cognitive functioning intense anger, rage impulsivity splitting

Answer 25

Borderline

Question 26

What are the Cluster A Personality Disorders?

Answer 26

Paranoid Schizoid Schizotypal

Question 27

Physiological effects of Bulimia Nervosa

Answer 27

Dental erosion (due to acid from vomiting) Parotid edema (due to food particles getting stuck in the parotid glands from purging→ chipmunk like cheeks) Calluses on hands (from sticking fingers down throat) Peripheral edema Muscle weakness Low Na and K Cardiomyopathy, ECG changes, CF

Question 28

What is binging?

Answer 28

Eating, in a discrete period of time (like within any 2 hour period) an amount of food that is definitely larger than most individuals would eat during a similar period of time and under similar circumstances

Question 29

Which Personality Disorder? perfectionistic conscientious, trustworthy disciplined, orderly

Answer 29

Obsessive-Compulse - note same as OCD - no obsessions or compulsions

Question 30

Difference b/t BEO and Bulimia

Answer 30

In BEO, the client doesn't purge...they just binge eat

Question 31

--- is used to help relieve depression and anxiety in people with Personality Disorders.

Answer 31

Venalafaxine

Question 32

Which is more prevelant, Bulimia or Anorexia?

Answer 32

Bulimia

Question 33

BMI risk for BEO

Answer 33

30 or greater (obesity)

Question 34

Which Personality Disorder? arrogant, haughty extremely self-centered believes they are superior and entitled lack empathy

Answer 34

Narcissistic

Question 35

Medical mgmt of Personality Disorders

Answer 35

Antidepressants Anticonvulsants Antipsychotics Anti-anxiety Mood Stabilizers

Question 36

How does Sibutramine work on obesity?

Answer 36

controls appetite by inhibiting 5-HT and NE

Question 37

What are the Cluster C Personality Disorders?

Answer 37

Avoidant Dependent Obsessive Compulsive

Question 38

Should Bulimia clients be hospitalized?

Answer 38

Patients with bulimia generally do not need hospitalization unless they experience severe electrolyte imbalance, dehydration, or rectal bleeding.

Question 39

Meds for Obesity

Answer 39

Fluoxetine Sympathomimetics Sibutramine Loracserin Phentermine Topiramate

Question 40

BMI for Anorexia Nervosa

Answer 40

Mild = 17.5 Severe =

Question 41

Should we show the Anorexia Nervosa patient their weight?

Answer 41

no (may vary by institution)

Question 42

Antidepressants used with Bulimia

Answer 42

Fluoxetine (SSRI) Imipramine Desipramine Amitryptyline Nortryptiline Phenelzine

Question 43

What are the Cluster B Personality Disorders?

Answer 43

Antisocial Borderline Histrionic Narcissitic

Question 44

What are the Anticonvulsants?

Answer 44

caramazepine valproic acid topiramate

Question 45

Which Personality Disorder? chronic antisocial behavior violates the rights of others violates social norms and laws, criminal behavior no empathy manipulative, decietful, narcissistic

Answer 45

Antisocial

Question 46

Which Personality Disorder? odd thought and behavior patterns persistent pattern of social and interpersonal deficits severe social anxiety **Fails to respond to normal interpersonal cues( *they can’t read people) **Suspicious or paranoid ideas

Answer 46

Schizotypal

Question 47

In ---, there is a morbid fear of obesity, but an obsession with food.

Answer 47

anorexia nervosa

Question 48

What is the dosage for fluoxetine with Bulimia?

Answer 48

60 mg/day (3x's the normal dose)

Question 49

Meds to treat Anorexia Nervosa

Answer 49

Fluoxetine Cloprimamine Cyproheptadine (appetite stimulant and antipsychotic) Olanzapine Chlorpromazine

Question 50

How will the SSRI fluoxetine treat Bulimia?

Answer 50

May decrease the craving for carbs, thereby decrease incidence of binge eating, which is often associated with consumption large amounts of carbs

Question 51

There is an association b/t Cluster A symptoms and ---

Answer 51

Decreased prefrontal grey matter Decreased posterior hippocampal volume Increased corpus callosum white matter

Question 52

Calculte BMI

Answer 52

weight in kg / height in meters squared

Question 53

Which drug to treat Binge Eating Disorder (BEO)?

Answer 53

Topiramate