NSG 3450 Mental Health Exam 3 questions and complete resolved correct
answers
1.anorexia nervosa: - pt. refused to maintain a minimally normal weight
for height
- expresses an intense fear of gaining weight
- a chronic illness that waxes and wanes
- the patient will require long term treatment
2.subtypes of anorexia nervosa: restricting and binge-eating/purging type
3.characteristics of of anorexia nervosa: - extreme weight loss
- intense fear of loss of control and weight gain
- involves a strong denial of the problem
- typically well educated and economically secure
- distorted body image
- restricted calories with significantly low BMI
- more common in females
- perfectionist, competitive personality
- dysfunctional family dynamics - overbearing mom
4.clinical presentation of anorexia nervosa: - low weight
- amenorrhea
- yellow skin
- lanugo
- cold extremities
- peripheral edema
- muscle weakness
- very reluctant to get help
- perfectionistic tendencies
5.abnormal lab values of anorexia nervosa: - hypokalemia <3.5 mEq/L
- anemia pancytopenia
- decreased bone density
6.areas to cover when assessing anorexia patient (psychological): -
perception of the problem
- eating habits
- history of dieting
- methods to achieve weight control (restricting, extreme exercise,
purging,)
- value attached to a specific size and weight
- interpersonal and social functioning
- mental status and physiological parameters
7.refeeding syndrome: - metabolic alterations that may occur during
nutritional repletion of starved patients
- results in fluid balance abnormalities, abnormal glucose metabolism,
,NSG 3450 Mental Health Exam 3 questions and complete resolved correct
answers
hypophos- phatemia, hypomagnesemia
,NSG 3450 Mental Health Exam 3 questions and complete resolved correct
answers
- complication may result in abnormalities of fluid balance and glucose
metabolism as well as hypophosphatemia, hypomagnesemia, and
hypokalemia
- thiamine deficiency can also occur
- nutrients are reintroduced slowly in order to avoid this syndrome
8.interventions for anorexia nervosa patients: - make sure that the
patient has a one-to-one staff at all times
- structured meal times
- make the patient feel accepted in the milieu
- restrict patient from doing any exercise
- restrict bathroom use after meals
- approach discussion about physical appearance carefully
- weigh the patient after the first void with the same clothes on daily
- the goal is 2-pound weight gain weekly
- the patient must eat food ordered
- provide additional calories
- small frequent meals to avoid refeeding syndrome
- the focus should be on eating behavior and underlying feelings of
anxiety.
9.bulimia nervosa: - a disorder in which cycles of overeating are followed
by some form of purging or clearing of the digestive tract either by
vomiting or compensatory methods such as diuretics or laxatives,
fasting, or excessive exercise
10.DSM-5 criteria for bulimia nervosa: - recurrent episodes of binge eating
- recurrent compensatory behaviors to prevent weight gain, for example
vomiting
- eating in a discrete period of time an amount of food that is
definitely larger than what most individuals would eat in a similar
similar
period of time under circumstances
- a sense of lack of control over eating during the episode
- the binge eating and inappropriate compensatory behaviors both
occur, on aver- age, at least once a week for 3 months
- self-evaluation is unduly influenced by body shape and weight
11.clinical assessment of bulimia nervosa patient: - at or close to ideal
body weight
- enlargement of parotid glands
- dental erosion and caries
- problems with impulsivity and compulsivity
, NSG 3450 Mental Health Exam 3 questions and complete resolved correct
answers
- gastric dilation, rupture
- calluses, scars on hand (Russell's sign)
- peripheral edema
- muscle weakening
answers
1.anorexia nervosa: - pt. refused to maintain a minimally normal weight
for height
- expresses an intense fear of gaining weight
- a chronic illness that waxes and wanes
- the patient will require long term treatment
2.subtypes of anorexia nervosa: restricting and binge-eating/purging type
3.characteristics of of anorexia nervosa: - extreme weight loss
- intense fear of loss of control and weight gain
- involves a strong denial of the problem
- typically well educated and economically secure
- distorted body image
- restricted calories with significantly low BMI
- more common in females
- perfectionist, competitive personality
- dysfunctional family dynamics - overbearing mom
4.clinical presentation of anorexia nervosa: - low weight
- amenorrhea
- yellow skin
- lanugo
- cold extremities
- peripheral edema
- muscle weakness
- very reluctant to get help
- perfectionistic tendencies
5.abnormal lab values of anorexia nervosa: - hypokalemia <3.5 mEq/L
- anemia pancytopenia
- decreased bone density
6.areas to cover when assessing anorexia patient (psychological): -
perception of the problem
- eating habits
- history of dieting
- methods to achieve weight control (restricting, extreme exercise,
purging,)
- value attached to a specific size and weight
- interpersonal and social functioning
- mental status and physiological parameters
7.refeeding syndrome: - metabolic alterations that may occur during
nutritional repletion of starved patients
- results in fluid balance abnormalities, abnormal glucose metabolism,
,NSG 3450 Mental Health Exam 3 questions and complete resolved correct
answers
hypophos- phatemia, hypomagnesemia
,NSG 3450 Mental Health Exam 3 questions and complete resolved correct
answers
- complication may result in abnormalities of fluid balance and glucose
metabolism as well as hypophosphatemia, hypomagnesemia, and
hypokalemia
- thiamine deficiency can also occur
- nutrients are reintroduced slowly in order to avoid this syndrome
8.interventions for anorexia nervosa patients: - make sure that the
patient has a one-to-one staff at all times
- structured meal times
- make the patient feel accepted in the milieu
- restrict patient from doing any exercise
- restrict bathroom use after meals
- approach discussion about physical appearance carefully
- weigh the patient after the first void with the same clothes on daily
- the goal is 2-pound weight gain weekly
- the patient must eat food ordered
- provide additional calories
- small frequent meals to avoid refeeding syndrome
- the focus should be on eating behavior and underlying feelings of
anxiety.
9.bulimia nervosa: - a disorder in which cycles of overeating are followed
by some form of purging or clearing of the digestive tract either by
vomiting or compensatory methods such as diuretics or laxatives,
fasting, or excessive exercise
10.DSM-5 criteria for bulimia nervosa: - recurrent episodes of binge eating
- recurrent compensatory behaviors to prevent weight gain, for example
vomiting
- eating in a discrete period of time an amount of food that is
definitely larger than what most individuals would eat in a similar
similar
period of time under circumstances
- a sense of lack of control over eating during the episode
- the binge eating and inappropriate compensatory behaviors both
occur, on aver- age, at least once a week for 3 months
- self-evaluation is unduly influenced by body shape and weight
11.clinical assessment of bulimia nervosa patient: - at or close to ideal
body weight
- enlargement of parotid glands
- dental erosion and caries
- problems with impulsivity and compulsivity
, NSG 3450 Mental Health Exam 3 questions and complete resolved correct
answers
- gastric dilation, rupture
- calluses, scars on hand (Russell's sign)
- peripheral edema
- muscle weakening
