Nursing Care and Assessment Exam
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Anorexia Nervosa (AN) - CORRECT ANSWERS Characterized by self-starvation and an intense,
irrational fear of gaining weight. Individuals with AN have a distorted perception of their body shape and
engage in behaviors that interfere with maintaining a healthy weight.
Restricting type (AN) - CORRECT ANSWERS Weight loss is achieved primarily through dieting,
fasting, or excessive exercise.
Binge-eating/purging type (AN) - CORRECT ANSWERS The individual restricts food intake but
also engages in recurrent episodes of binge eating or purging behaviors (e.g., self-induced vomiting,
misuse of laxatives).
Bulimia Nervosa (BN) - CORRECT ANSWERS Defined by recurrent episodes of binge eating
(consuming large quantities of food in a short period) followed by inappropriate compensatory
behaviors to prevent weight gain, such as self-induced vomiting, misuse of laxatives, or excessive
exercise.
Binge-Eating Disorder (BED) - CORRECT ANSWERS Involves recurrent episodes of binge eating
accompanied by significant distress, but without the regular use of compensatory behaviors seen in
bulimia nervosa. This often results in obesity.
Core Behavioral Pattern of Anorexia Nervosa - CORRECT ANSWERS Self-starvation, restrictive
eating, and/or bingeing and purging, driven by an intense fear of weight gain.
Typical Body Weight in Anorexia Nervosa - CORRECT ANSWERS Significantly low body weight;
appears underweight or emaciated.
, Core Behavioral Pattern of Bulimia Nervosa - CORRECT ANSWERS Cycles of binge eating
followed by inappropriate compensatory behaviors (e.g., purging, excessive exercise).
Typical Body Weight in Bulimia Nervosa - CORRECT ANSWERS Typically within the normal
weight range, or slightly above or below.
Core Behavioral Pattern of Binge-Eating Disorder - CORRECT ANSWERS Recurrent episodes of
binge eating without compensatory behaviors, leading to feelings of guilt and shame.
Typical Body Weight in Binge-Eating Disorder - CORRECT ANSWERS Often associated with
being overweight or obese.
Neurobiological Factors - CORRECT ANSWERS Structural and functional brain alterations are
evident. Key areas include the orbitofrontal cortex (which signals when to stop eating) and the right
insula (involved in sensing bodily signals).
Dopamine in Eating Disorders - CORRECT ANSWERS In AN, dopamine may trigger anxiety
around eating, while in BN and BED, a weaker reward response may drive bingeing.
Serotonin's Role - CORRECT ANSWERS Serotonin, which regulates well-being and appetite, is
also implicated in eating disorders.
Genetic Factors - CORRECT ANSWERS A clear genetic link exists. First-degree relatives of
individuals with AN have a significantly higher risk of developing an eating disorder.
Psychological & Sociocultural Factors - CORRECT ANSWERS Patients often demonstrate
anxious, obsessive, perfectionistic, and achievement-oriented traits before the onset of the disorder.
Cultural Pressures - CORRECT ANSWERS Cultural pressures idealizing thinness, dysfunctional
family dynamics, and a history of trauma create a high-risk profile for developing eating disorders.