NUR 256 Mental Health Exam 4 Galen College Actual
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What is Anorexia Nervosa? - Answer-refusal to maintain a
minimally normal weight, intense fear of gaining weight,
often has a need for control
What is Bulimia Nervosa? - Answer-binge eating followed
by purging (vomiting, laxatives, diuretics)
What to assess for Anorexia? - Answer-How long?
How much wt pt has lost?
intake?
What s/s will anorexia pt have? - Answer-under-nourished
sunken eyes
yellow skin
cold extremities
dry brittle hair & nails
poor skin turgor
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amenorrhea
bradycardia
constipation
fine hair all over body to help reg temps
What are some interventions for anorexia? - Answer-Daily
morning wt (face away)
distract from exercise
Stabilize them medically
Coping skills
underlying anxiety tx
Help identify things they do have control over
work on self-esteem
small freq meals
distract from exercise
accompany to bathroom after meals
limit exercise
Tx for anorexia? - Answer-SSRI
zyprexia
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provac
yoga
group & family therapy
What are signs that eating habits are normalizing? -
Answer-They will start eating more on their own w/ out
being told
What is a potentially lethal tx complication that can occur
when severely malnourished pts are refed? - Answer-
refeeding syndrome
need to consult dietician
What s/s will bulimia pt have? - Answer-healthy looking
difficulty with impulsivity & compulsivity
vomiting (self induced)
dehydration
electrolyte imbalance
bradycardia
dental caries/tooth erosion
russells sign