MH 433 Eating disorders

The following are indicative of anorexia. Select all that apply.

The following are indicative of bulimia. Select all that apply.

The cause of eating disorders is varied and complex. Eating disorders include a biological vulnerability or predisposition that is activated by psychological, environmental, and cultural factors.

Abnormalities are of the "the chicken or the egg" quality because we are not certain whether they cause the eating disorder or if the eating disorder causes them. Serotonin pathways are abnormal.

Individuals with eating disorders have a characteristic phenotype: Constellation of personality traits that have been shown to be moderately heritable.

Female relatives of people with eating disorders are up to [blank_start]12[blank_end] times more likely to develop them as well.

Core characteristics of eating disorders are thought to be low self-esteem and self-doubts about personal worth. Family theorists long believed that specific dynamics converge to create individuals with eating disorders.

Eating disorders increase in societies where women have a choice in social roles.

People with eating disorders have [blank_start]cognitive distortions[blank_end] that are the result of processing errors in the brain.

Eating disorders are connected to underlying emotions of:

Determining which cognitive distortions were present before the eating disorder and which ones are the result of semistarvation is important.

Risk factors for an eating disorder include interpersonal factors and social factors.

Interpersonal factors include: Select all that apply.

Social factors include: Select all that apply.

Signs and symptoms of an eating disorder include: Dramatic weight loss in a relatively short period of time Obsession with weight, calories, fat, food groups, exercise, recipes, cooking for others Frequent sore throats, swollen glands, and/or headaches Frequent trips to the bathroom after meals (often run water to mask sound) Isolation when eating Unusual eating habits (i.e cutting up food in tiny pieces, over-seasoning food, spitting out food, lots of water, small bites) Low self-esteem Constantly feeling cold Mood swings Hiding/stealing food Insomnia

Anorexia nervosa appears in

Bulimia nervosa appears in

For women aged 35-65 years, changes in appearance and role can potentially increase the risk of developing an eating disorder.

Eating disorders are almost never co-morbid with other psychiatric illnesses.

What are some assessment findings in anorexia nervosa? Select all that apply.

What are some assessment findings in bulimia nervosa? Select all that apply

What does the clinical picture of anorexia nervosa look like?

Refeeding syndrome is a potentially fatal shift in fluids and electrolytes that may occur due to prolonged malnourishment.

How does refeeding syndrome happen?

How do we prevent refeeding syndrome?

Refeeding syndrome is potentially fatal.

Why do we care about refeeding syndrome?

Characteristics of bulimia nervosa are: -Recurrent binge episodes (consumption of large amounts of food with loss of control) -Recurrent use of inappropriate behaviors to prevent weight gain (vomiting, laxatives, diuretics, exercise, diet pills) -Both bingeing and purging occur, on average, two times weekly for three months -Self-evaluation influenced by weight/shape

The clinical picture of bulimia nervosa looks like

Nursing care of patients with eating disorders include:

Planning care in the acute phase of anorexia nervosa includes: Select all that apply.

Possible long-term treatment for anorexia nervosa includes

Planning care in the acute phase of bulimia nervosa includes: Select all that apply.

For patient with bulimia nervosa, the patient is referred for long term care on discharge to solidify goals and to address attitudes and perceptions that maintain the eating disorder. Also, the patient and family benefit from connecting with the national network and often, psychotherapy is performed.

Evidence based research suggests multi-disciplinary approach to be the least effective form of treating for an eating disorder.

Treatment of eating disorders include: select all that apply

What are some guidelines when communicating with a patient with an eating disorder?

Long-term outpatient treatment helps patients: -maintain health weight -with individual, family, group therapy, psychopharmacology, and nutrition counseling -address depression, substance abuse, and/or personality disorders that interfere with quality of life

Self-worth and interpersonal functioning aren't issues that are useful to target

Which of the following is an example of all-or-nothing thinking, which is a frequent cognitive distortion of patients with an ED?

Typical goals of inpatient hospitalization for a patient with anorexia do not include which of the following?

Which medication is likely to be used in the treatment of patients with EDs?