Galen MH Exam 4 with verified solutions
What is Anorexia Nervosa? - correct answer ✔refusal to maintain a minimally
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normal weight, intense fear of gaining weight, often has a need for control
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What is Bulimia Nervosa? - correct answer ✔binge eating followed by purging
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(vomiting, laxatives, diuretics)
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What to assess for Anorexia? - correct answer ✔How long?
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How much wt pt has lost?
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intake?
What s/s will anorexia pt have? - correct answer ✔under-nourished
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sunken eyes |
yellow skin |
cold extremities
|
dry brittle hair & nails
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poor skin turgor
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amenorrhea
bradycardia
constipation
fine hair all over body to help reg temps
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,What are some interventions for anorexia? - correct answer ✔Daily morning wt
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(face away)
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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? - correct answer ✔SSRI
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zyprexia
provac
yoga
group & family therapy
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What are signs that eating habits are normalizing? - correct answer ✔They will
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start eating more on their own w/ out being told
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What is a potentially lethal tx complication that can occur when severely
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malnourished pts are refed? - correct answer ✔refeeding syndrome
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need to consult dietician
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, What s/s will bulimia pt have? - correct answer ✔healthy looking
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difficulty with impulsivity & compulsivity
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vomiting (self induced)
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dehydration
electrolyte imbalance |
bradycardia
dental caries/tooth erosion
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russells sign |
What is Russell's sign? - correct answer ✔Calluses on knuckles from self-
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induced vomiting |
Which is easier to treat bulimia or anorexia? - correct answer ✔Bulimia d/t
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nourishment & shame/want for change
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What are some interventions for bulimia? - correct answer ✔coping strategies
| | | | | | | | | |
identify triggers
|
restric bathroom after meals or monitor
| | | | |
stabilize first (concerned w/ electrolytes)
| | | |
health teaching and promotion
| | |
CBT
What to educate bulimia pt to watch for? - correct answer ✔s/s of electrolyte
| | | | | | | | | | | | |
imbalance
|
What is Anorexia Nervosa? - correct answer ✔refusal to maintain a minimally
| | | | | | | | | | |
normal weight, intense fear of gaining weight, often has a need for control
| | | | | | | | | | | | |
What is Bulimia Nervosa? - correct answer ✔binge eating followed by purging
| | | | | | | | | | |
(vomiting, laxatives, diuretics)
| | |
What to assess for Anorexia? - correct answer ✔How long?
| | | | | | | | |
How much wt pt has lost?
| | | | |
intake?
What s/s will anorexia pt have? - correct answer ✔under-nourished
| | | | | | | | |
sunken eyes |
yellow skin |
cold extremities
|
dry brittle hair & nails
| | | |
poor skin turgor
| |
amenorrhea
bradycardia
constipation
fine hair all over body to help reg temps
| | | | | | | |
,What are some interventions for anorexia? - correct 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? - correct answer ✔SSRI
| | | | | |
zyprexia
provac
yoga
group & family therapy
| | |
What are signs that eating habits are normalizing? - correct 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? - correct answer ✔refeeding syndrome
| | | | | | | | |
need to consult dietician
| | |
, What s/s will bulimia pt have? - correct answer ✔healthy looking
| | | | | | | | | |
difficulty with impulsivity & compulsivity
| | | |
vomiting (self induced)
| |
dehydration
electrolyte imbalance |
bradycardia
dental caries/tooth erosion
| |
russells sign |
What is Russell's sign? - correct answer ✔Calluses on knuckles from self-
| | | | | | | | | | |
induced vomiting |
Which is easier to treat bulimia or anorexia? - correct answer ✔Bulimia d/t
| | | | | | | | | | | |
nourishment & shame/want for change
| | | | |
What are some interventions for bulimia? - correct answer ✔coping strategies
| | | | | | | | | |
identify triggers
|
restric bathroom after meals or monitor
| | | | |
stabilize first (concerned w/ electrolytes)
| | | |
health teaching and promotion
| | |
CBT
What to educate bulimia pt to watch for? - correct answer ✔s/s of electrolyte
| | | | | | | | | | | | |
imbalance
|
