Nurs 663 test 2 Study Guide with Complete Solutions

Nurs 663 test 2 Study Guide with Complete Solutions Restriction, intense fear of gaining weight, disturbance - Answer-Anorexia Nervosa criteria Anorexia, bulimia, BED - Answer-Fear of gaining too much weight occurs in ____________ but doesn't occur in _________ or __________). 15%, weight - Answer-Anorexia is diagnosed when a person weighs at least ______ less than their normal/ideal body _________. high burden - Answer-In anorexia, Low quality of life yet a __________ ___________ placed on the individual and family anorexia, restricting, dieting, exercising, 3 - Answer-In ____________Specify whether: -______________ type: ____________, fasting, _____________ during last ____ months binge-eating/purging, 3 - Answer-In anorexia, specify whether: ______________________ type during last ____ months full, sustained period - Answer-In anorexia specify whether ______ remission: no criteria met anymore for _____________ __________ of time Extreme - Answer-Severity levels for anorexia: Mild, Moderate, Severe, __________ EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 2/21 Behavioral, cognitive, dynamic psychotherapy, family, and interpersonal therapies - Answer- Treatments for anorexia nervosa: dynamic psychotherapy - Answer-Most important treatments for anorexia nervosa: irregular, EKG - Answer-In anorexia,Assessments are both psychological and physical evaluations: Check for ___________ heart rhythms: order _______. none - Answer-FDA approved meds for anorexia: psychological, a few hours after eating - Answer-________________ (therapy) and behavioral interventions (making sure someone is with them ___ _____ __________ ________ _________ ) are core in anorexia 4 - Answer-Number of PICA diagnostic criteria 1. Persistent, nonnutritive, 1 month, 2 2. The nonfood substances, developmental level 3. social 4. intellectual, autism, schizo, pregnancy, warrant - Answer-PICA diagnostic criteria: 1. _____________ eating of _______________, nonfood substances over a period of at least ______________ (needs to be at least ____ yrs old) 2. _________________________ is inappropriate for _________________level 3. It's not a part of their cultural or ____________ practice EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 3/21 4. If eating behavior occurs with another mental disorder ( ____________, ____________, ______________, ____________ ) it is sufficiently severe to ___________ clinical attention. PICA - Answer-___________ usually occurs in children, rarely starts in adulthood Intellectual disability, neglect, lack of supervision, developmental delay - Answer-These increase risk of PICA: Ca, Fe, Zinc, Anemia - Answer-In PICA, patients may be deficient in _____, _____, and ________. __________ is reported in some cases. Clay, starch - Answer-Eating _________ or _________ can worsen Fe deficiency GI, lead or mercury, parasites/intestinal, deficiency - Answer-In PICA, assess for ______ complications, ___________________ poisoning, ___________________ infection from soil, and nutritional _____________. Order a full physical, screen for missing nutrients (anemia), and screen for medical issues (lead poisoning). - Answer-Medical treatment of PICA: Control behavior and environmental factors, CBT therapy, daily logs, assess for triggers - Answer-Psych treatment of PICA: CBT - Answer-therapy for PICA EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 4/21 anxiety, going to school - Answer-Examine if there is a trigger for eating non food items such as ________ or ___________________. discrete, 2 hours, loss of control - Answer-BED requires the first two diagnostic criteria including eating, in a _________ period of time (w/in ___ _____), AND _____________ 6 - Answer-How many diagnostic criteria for BED? Discrete eating, loss of control, 1 week/3 months, marked distress, no compensatory or anorexia, at least 3 - Answer-In 2-4 words, list each diagnostic criteria for BED 3, 5, eating more rapid than usual, eating until uncomfortably full, eating large amounts when not hungry, eating alone, feeling disgusting/depressed/guilty after - Answer-BED requires at least ____ of the _____ following: 5 - Answer-common for all ____ criteria of the 5 options to be met in BED bulimia - Answer-BED has a behavioral indicator for binge eating but ______________ does not bulimia, not - Answer-BED has a distress about binge eating and __________ does _________ frequent dieting - Answer-BED: Lack of purging, excessive exercise, or dietary restrictions/extreme dieting, but _________ __________ may be reported. bariatric - Answer-Environment where BED is often screened for is the __________ patients electing for surgery EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 5/21 intended, possible - Answer-When assessing patient's appetite (for BED), Ask: "Have you ever eaten more than you ____________?" follow up with, "Did you feel like it wasn't _________ to stop?" vyvanse - Answer-The only FDA approved med for BED frequency - Answer-Tell patient that the goal of vyvanse is to decrease the ___________ of binge episodes, it's not prescribed for weight loss/obesity dry mouth - Answer-main side effect of vyvanse? binge eating, cognitive impairment - Answer-Topiramate is an anticonvulsant that does work in reducing ________ __________ and weight gain, BUT leads to ____________ ______________ when dosed for effectiveness behavior - Answer-Anti-obesity agents: Targets appetite/weight, but not BED __________. Naltrexone - Answer-____________: hit or miss, NEI says didn't work well for BED Baclofen, psychosis - Answer-_____________: Some evidence it reduces automatic behavior (for BED), but can't stop abruptly due to ___________ (took NEI guy 4-5 months to titrate off) Dasotraline - Answer-_______________: In phase 3, dual acting DA and NE reuptake inhibitor. For BED 3 months - Answer-Bulimia and BED both require a loss of control, binge eating frequency, and a duration of at least _____ ________