COTC NURS 117 Exam 2 Questions and Answers Fully Solved
Early S/S of mental health problems - Answers Excessive worrying, sadness, fear, anger, irritibility
Problem concentrating
Extreme mood change
Sleep habits
Thoughts of suicide
Causes of mental illness - Answers Environmental Factors
Social factors (poverty, racism, violence)
Early Childhood experiences
Biological Factors
Genetics
Anorexia nervosa - Answers An irrational fear of weight gain leads people to starve themselves
S/S of anorexia nervosa - Answers Terror of gaining weight
Preoccupation with thoughts of food
Judges self-worth by body weight
Low body weight
Amenorrhea
Cold extremities
Constipation
Hypotension, bradycarida
Impaired renal function
Hypokalemia
Hyperactivity
Anorexia nervosa considerations - Answers Monitor electrolyte imbalance d/t vomiting and raising acid
levels
, Bulimia nervosa - Answers Characterized by episodes of overeating, usually of high-calorie foods,
followed by vomiting, laxative use, fasting, or excessive exercise
Bulimia nervosa considerations - Answers discovered by dentist usually d/t vomit leading to teeth
erosion
Meds for bulimia nervosa - Answers Fluoxetine (Prozac), SSRI, antidepressants
*bupropion is contraindicated*
BMI (body mass index) - Answers Underweight - Less than 18.5
Normal - 18.5 - 24.9
Overweight - 25 - 29.9
Obese - 30 - 39.9
Eating disorder treatments - Answers psychotherapy (CBT: reduce/eliminate binge eating/ purging
behaviors)
Family Based therapy (eating is the only thing they can control)
Meds
Nutritional Counseling
Med Care/ Monitoring (Intensive inpatient, residential, partial hospitalization)
S/S of depression - Answers depressed mood,
insomnia,
excessive sleeping,
indecisiveness,
decreased ability to concentrate,
suicidal ideation, i
ncrease or decrease in motor activity,
increase or decrease in wt. and agnosia.
Depression treatment - Answers Drug Therapy: SSRI, TCA, MAOI, ECT, Psychotherapy
Seratonin syndrome - Answers may start 2-72 hours after- can be LETHAL
confusion, fever, agitation, anxiety, hallucination, hyperreflexia, diaphoresis, tremors, hypertension
Early S/S of mental health problems - Answers Excessive worrying, sadness, fear, anger, irritibility
Problem concentrating
Extreme mood change
Sleep habits
Thoughts of suicide
Causes of mental illness - Answers Environmental Factors
Social factors (poverty, racism, violence)
Early Childhood experiences
Biological Factors
Genetics
Anorexia nervosa - Answers An irrational fear of weight gain leads people to starve themselves
S/S of anorexia nervosa - Answers Terror of gaining weight
Preoccupation with thoughts of food
Judges self-worth by body weight
Low body weight
Amenorrhea
Cold extremities
Constipation
Hypotension, bradycarida
Impaired renal function
Hypokalemia
Hyperactivity
Anorexia nervosa considerations - Answers Monitor electrolyte imbalance d/t vomiting and raising acid
levels
, Bulimia nervosa - Answers Characterized by episodes of overeating, usually of high-calorie foods,
followed by vomiting, laxative use, fasting, or excessive exercise
Bulimia nervosa considerations - Answers discovered by dentist usually d/t vomit leading to teeth
erosion
Meds for bulimia nervosa - Answers Fluoxetine (Prozac), SSRI, antidepressants
*bupropion is contraindicated*
BMI (body mass index) - Answers Underweight - Less than 18.5
Normal - 18.5 - 24.9
Overweight - 25 - 29.9
Obese - 30 - 39.9
Eating disorder treatments - Answers psychotherapy (CBT: reduce/eliminate binge eating/ purging
behaviors)
Family Based therapy (eating is the only thing they can control)
Meds
Nutritional Counseling
Med Care/ Monitoring (Intensive inpatient, residential, partial hospitalization)
S/S of depression - Answers depressed mood,
insomnia,
excessive sleeping,
indecisiveness,
decreased ability to concentrate,
suicidal ideation, i
ncrease or decrease in motor activity,
increase or decrease in wt. and agnosia.
Depression treatment - Answers Drug Therapy: SSRI, TCA, MAOI, ECT, Psychotherapy
Seratonin syndrome - Answers may start 2-72 hours after- can be LETHAL
confusion, fever, agitation, anxiety, hallucination, hyperreflexia, diaphoresis, tremors, hypertension
