MHQ6

What type of symptoms is weight gain in an anorexic patient?
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Terms in this set (29)
What type of symptoms is weight gain in an anorexic patient?
SUBJECTIVE
How can the nurse best handle anorexic strategies (hiding, spilling or discarding food)?
Nonjudgemental CONFRONTATION and established LIMITS
What is the most effective treatment for anorexia and bulimia?
COGNITTIVE BEHAVIORAL THERAPY
Often the individual with an eating disorder is seen as _________ and a ________.
Often the individual with an eating disorder is seen as COMPLIANT and a PERFECTIONIST.
Deficits in ______ might play a role in bulimia nervosa.
Deficits in SEROTONIN might play a role in bulimia nervosa.
A major objective of psychotherapeutic management of anorexia is what?
INCREASING WEIGHT TO 90% of average body weight
Why should bulimic patients should be accompanied to bathroom?
To PREVENT PURGING
How can resistance to the urge to vomit be strengthened?
REPORTING URGE to nurse and talking about feelings
DSM-V criteria for bulimia nervosa:
Episodes of binge eating ONCE weekly for THREE months
Who is at increased risk for eating disorders and why?
JR.HIGH and HIGH SCHOOL students are at increased risk.
Based on our culture's EMPHASIS ON THINNESS and the adolescent's need for approval
What begins at an earlier age: Anorexia or bulimia?ANOREXIA begins at an earlier ageThere is some evidence that _____ might be effective as adjunctive treatment of bulimia.SSRIs may be effective for bulimiaResearch shows that men with eating disorders have a higher concern about _____.Men with eating disorders show a higher concern about sexual identity and HOMOSEXUALITYWhat are signs of abuse in a child?The nurse should determine that a child who SHRINKS at the approach of adults in addition to having BRUISES and BURNS might be a victim of abuse.Women in abusive relationships often grew up in ______ and might be a victim of ______ as well.Women in abusive relationships often grew up in ABUSIVE homes and might be a victim of INCEST as well.______ and ________ are central to the dynamic of domestic violence.POWER and CONTROL are central to domestic violenceWhat provides an avenue for the abused client's catharsis in order to begin the process of healing?NONJUDGMENTAL LISTENING provides an avenueIn a controlled response pattern, the abused client's feelings are often ________ or ______. What kind of affect is seen?The abused clients feelings are often MASKED or SUBDUED. A CALM, COMPOSED, or SUBDUED affect is seen.What happens to clients in severely abusive relationships?Clients in severely abusive relationships are PARALYZED in action by a combo of PHYSICAL THREATS and a sense of POWERLESSNESSWhat evidence suggests the victim of sexual assault is handling the situation in a healthy manner?When the client realizes that the assault was NOT HER/HIS FAULT.A rapist uses what to subdue the victim? Rape is the expression of what?A rapist uses WEAPONS to terrorize and subdue the victim. Rape is the expression of POWER and DOMINANCE.What happens in Phase III of domestic abuse?In Phase III, the HONEYMOON phase of the cycle of battering, the batterer becomes extremely LOVING, KIND, and CONTRITE. PROMISES are often made that the abuse will not happen again.What information should the nurse provide to a domestic abuse victim?Information about SAFE HOUSES for battered women.Expressed response pattern:Feelings of FEAR, ANGER, and ANXIETY are expressed through crying, sobbing, smiling, restlessness, and TENSION in a abuse victim.What are signs in a school-age child that are indicative of neglect?A child who is often ABSENT from school, seems APATHETIC/TIRED might be a victimAdult survivors of childhood incest are at risk for what 7 disorders?PTSD SEXUAL DYSFUNCTION SOMATIZATION disorders COMPULSIVE SEXUAL behavior disorders DEPRESSION ANXIETY EATING DISORDERWhat are 5 (vitals) symptoms of anorexia?PULSE irregularities Peripheral EDEMA Abnormal HEART SOUNDS MOIST LUNG sounds Alterations in OXYGENATION and cardiac PERFUSIONWhen planning care for women who have been victims of domestic abuse, the nurse should be aware that it often takes ________ ______ before a woman leaves an abusive situation, that ______ _______ is a common factor in abusive relationships, and that women in abusive relationships usually feel _____ and __________.When planning care for women who have been victims of domestic abuse, the nurse should be aware that it often takes SEVERAL ATTEMPTS before a woman leaves an abusive situation, that SUBSTANCE ABUSE is a common factor in abusive relationships, and that women in abusive relationships usually feel ISOLATED and UNSUPPORTED.An adult survivor of incest is most likely low in what?Survivors of incest are most likely low in SELF-ESTEEM.