Maryville university: NURS661: Exam with
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Answers| Latest Update 2024/25
Trichotilomania basics - ✔✔More common in females
What percent of those with trichotilomania eat their hair - ✔✔30-40% and 1/3 experience
hazardous bezoars (hairballs)
etiology of trichotilomania - ✔✔mother-child relationship, fear of being left alone, recent
object loss
which hair is often pulled? - ✔✔scalp
2 types of pulling with trichotilomania - ✔✔focused pulling (intentional act) and automatic
pulling (unaware of pulling during sedentary activities)
average age of onset for trichotilomania - ✔✔mean age 17, onset early teens
pharmacological treatment of trichotilomania - ✔✔treatment: vistaril (anxiolytic with
antihistamine properties), SSRIs, can augment SSRI with pimozide (Orap) a dopamine receptor
agonist), some efficacy with fluvoxamine (Luvox), citalopram (Celexa), venlafaxine (Effexor),
naltrexone (ReVia), and lithium (Eskalith)
Behavioral treatments for trichotilomania - ✔✔biofeedback, self monitoring, desensitization
and habit reversal, insight-oriented psychotherapy, and hypnotherapy (skin has been shown to
be susceptible to hypnotic suggestion.
, Be able to recognize anorexia nervosa among male patients
Predisposing factors: - ✔✔gay orientation in men, because of pressures for muscular
slimness
at risk are those in performance sports: wrestling, modeling, dancing, gymnastics, swimming
*17% of boys who wrestle, develop full or partial eating disorder, with minority continuing on
after training
usual onset of anorexia nervosa - ✔✔women is teens to early 20s, mean 14-18, men a few
years later
Criteria for anorexia nervosa - ✔✔Refusal to maintain a minimally normal body weight
Weight less than 85% of expected weight
Fear of gaining weight or becoming fat
Distorted body image
MSE for anorexia nervosa - ✔✔Appearance: emaciated appearance with anorexia nervosa
Affect: lability, anxiety, constricted and sad
Mood: dysphoric mood
Thought content: preoccupation with food & body weight, suicidal ideation, low self esteem
Concentration: decreased concentration
Judgement: impaired for self welfare
Insight: Impaired
REM and placement in sleep cycle - ✔✔it is the last sleep cycle
S/S of REM - ✔✔it is associated with rapid eye movement, increase in pulse, respiratory rate,
blood pressure dreams, and brain health
Questions Solved 100% Correct with Verified
Answers| Latest Update 2024/25
Trichotilomania basics - ✔✔More common in females
What percent of those with trichotilomania eat their hair - ✔✔30-40% and 1/3 experience
hazardous bezoars (hairballs)
etiology of trichotilomania - ✔✔mother-child relationship, fear of being left alone, recent
object loss
which hair is often pulled? - ✔✔scalp
2 types of pulling with trichotilomania - ✔✔focused pulling (intentional act) and automatic
pulling (unaware of pulling during sedentary activities)
average age of onset for trichotilomania - ✔✔mean age 17, onset early teens
pharmacological treatment of trichotilomania - ✔✔treatment: vistaril (anxiolytic with
antihistamine properties), SSRIs, can augment SSRI with pimozide (Orap) a dopamine receptor
agonist), some efficacy with fluvoxamine (Luvox), citalopram (Celexa), venlafaxine (Effexor),
naltrexone (ReVia), and lithium (Eskalith)
Behavioral treatments for trichotilomania - ✔✔biofeedback, self monitoring, desensitization
and habit reversal, insight-oriented psychotherapy, and hypnotherapy (skin has been shown to
be susceptible to hypnotic suggestion.
, Be able to recognize anorexia nervosa among male patients
Predisposing factors: - ✔✔gay orientation in men, because of pressures for muscular
slimness
at risk are those in performance sports: wrestling, modeling, dancing, gymnastics, swimming
*17% of boys who wrestle, develop full or partial eating disorder, with minority continuing on
after training
usual onset of anorexia nervosa - ✔✔women is teens to early 20s, mean 14-18, men a few
years later
Criteria for anorexia nervosa - ✔✔Refusal to maintain a minimally normal body weight
Weight less than 85% of expected weight
Fear of gaining weight or becoming fat
Distorted body image
MSE for anorexia nervosa - ✔✔Appearance: emaciated appearance with anorexia nervosa
Affect: lability, anxiety, constricted and sad
Mood: dysphoric mood
Thought content: preoccupation with food & body weight, suicidal ideation, low self esteem
Concentration: decreased concentration
Judgement: impaired for self welfare
Insight: Impaired
REM and placement in sleep cycle - ✔✔it is the last sleep cycle
S/S of REM - ✔✔it is associated with rapid eye movement, increase in pulse, respiratory rate,
blood pressure dreams, and brain health
