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NSG 3450 Mental Health Questions and answers

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NSG 3450 Mental Health Questions and answers

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10/30/25, 6:30 PM NSG 3450 Mental Health Flashcards | Quizlet



Social Science Psychology Abnormal Psychology


NSG 3450 Mental Health
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Terms in this set (92)


Pt. refused to maintain a minimally normal weight for height and expresses an intense
Anorexia nervosa fear of gaining weight. It is a chronic illness that waxes and wanes. The patient will
require long term treatment.

Subtypes of Anorexia Nervosa Restricting and binge-eating/purging type

Extreme weight loss
Intense fear of loss of control and weight gain
Involves a strong denial of the problem
Typically well educated and economically secure
Characteristics of of anorexia nervosa Distorted body image
Restricted calories with significantly low BMI
More common in females
Perfectionist, competitive personality
Dysfunctional family dynamics - overbearing mom

Low weight
Amenorrhea
Yellow skin
Lanugo
Clinical Presentation of anorexia nervosa Cold extremities
Peripheral edema
Muscle weakness
Very reluctant to get help
Perfectionistic tendencies

Hypokalemia <3.5 mEq/L
Abnormal lab values of anorexia nervosa Anemia pancytopenia
Decreased bone density




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, 10/30/25, 6:30 PM NSG 3450 Mental Health Flashcards | Quizlet

Perception of the problem
Eating habits
History of dieting
Areas to cover when assessing anorexia
Methods to achieve weight control (restricting, extreme exercise, purging,)
patient (psychological)
Value attached to a specific size and weight
Interpersonal and social functioning
Mental status and physiological parameters

metabolic alterations that may occur during nutritional repletion of starved patients.
Refeeding syndrome Results in fluid balance abnormalities, abnormal glucose metabolism,
hypophosphatemia, hypomagnesemia.

-Make sure that the patient has a one-to-one staff at all times.
-Structured meal times
-Make the patient feel accepted in the milieu
-Restrict patient from doing any exercise
-Restrict bathroom use after meals
-Approach discussion about physical appearance carefully
Interventions for anorexia nervosa patients
-Weigh the patient after the first void with the same clothes on daily
-The goal is 2-pound weight gain weekly
-The patient must eat food ordered
-Provide additional calories
-Small frequent meals to avoid refeeding syndrome
-The focus should be on eating behavior and underlying feelings of anxiety.

A disorder in which cycles of overeating are followed by some form of purging or
bulemia nervosa clearing of the digestive tract either by vomiting or compensatory methods such as
diuretics or laxatives, fasting, or excessive exercise

-Recurrent episodes of binge eating
-Recurrent compensatory behaviors to prevent weight gain, for example, vomiting
-Eating in a discrete period of time an amount of food that is definitely larger than
what most individuals would eat in a similar period of time under similar
DSM-5 criteria for bulimia nervosa circumstances.
-A sense of lack of control over eating during the episode.
-The binge eating and inappropriate compensatory behaviors both occur, on
average, at least once a week for 3 months.
-Self-evaluation is unduly influenced by body shape and weight.

-At or close to ideal body weight
-Enlargement of parotid glands
-Dental erosion and caries
-Problems with impulsivity and compulsivity
-Gastric dilation, rupture
-Calluses, scars on hand (Russell's sign)
-Peripheral edema
-Muscle weakening
Clinical assessment of bulimia nervosa
-Abnormal laboratory values (hypokalemia, hyponatremia,)
patient
-Cardiomyopathy
-ECG changes
Cardiac failure (due to cardiomyopathy from ipecac poisoning)
-Thyroid function levels
-Glucose level
-CBC
-ECG
-Assess triggers to cause binging




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