Bulimia
Characteristics of Bulimia?
A) Uncontrolled episodes of overeating, and sometimes followed by purging by self-induced vomiting, misuse of laxatives and other methods
B) Frequently skipping meals or refusing to eat
C) Eating healthy meals on a schedule
D) Uncontrolled eating of unhealthy meals on a schedule
A) Uncontrolled episodes of overeating, and sometimes followed by purging by self-induced vomiting, misuse of laxatives and other methods
Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client's home environment should a nurse associate with the development of this disorder?
A. The home environment maintains loose personal boundaries.
B. The home environment places an overemphasis on food.
C. The home environment is overprotective and demands perfection.
D. The home environment condones corporal punishment.
Answer: C
The home environment is overprotective and demands perfection.
The pattern of eating that involves distress-inducing binges NOT followed by purging behaviors is known as ____.
A) Bulimia Nervosa
B) Binge Eating Disorder
C) Anorexia Nervosa
D) Stress Eating Disorder
B) Binge Eating Disorder
What does ABSN stand for?
Accelerated Bachelor of Science in Nursing
True or False: Prevalence of bulimia nervosa was five times higher among females (0.5%) than males (0.1%).
TRUE
The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team calls for a family meeting. Which is the appropriate nursing reply?
A. "Tell me why this family meeting is causing you to be defensive. All clients are required to participate in two family sessions."
B. "Eating disorders have been correlated to certain familial patterns; without addressing these, your child's condition will not improve."
C. "Family dynamics are not linked to eating disorders. The meeting is to provide your child with family support."
D. "Clients diagnosed with anorexia nervosa are part of the family system, and any alteration in family processes needs to be addressed."
Answer: B.
"Eating disorders have been correlated to certain familial patterns; without addressing these, your child's condition will not improve."
What is purging?
A) Self-induced vomiting or laxative abuse used to compensate for excessive food ingestion
B) Emotionally consuming too many calories throughout the day, resulting in excessive weight gain
C) Binging on food after a prolonged period of self-starvation due to body image disorders
A) Self-induced vomiting or laxative abuse used to compensate for excessive food ingestion
How many days are in the month of June?
30
Presenting Symptoms of Bulimia?
A) Difficulty breathing, chest pain, pain in left arm
B) Nausea and vomiting, consistent energy levels
C) Insomnia, bluish discoloration of fingers, extreme weight loss
D) Fatigue, dizziness, weakness, frequent fluctuations in energy levels
D) Fatigue, dizziness, weakness, frequent fluctuations in energy levels
A nursing instructor is teaching students about the differences between the symptoms of anorexia nervosa and the symptoms of bulimia nervosa. Which student statement indicates that learning has occurred?
A. "Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not."
B. "Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with anorexia nervosa do not."
C. "Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with anorexia nervosa do not."
D. "Clients diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not."
Answer: A
"Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not."
True or False:
Individuals who are in a binge/purge cycle will most likely require a combination of BOTH medication and psychological therapy in order to overcome the illness.
TRUE
When is International Falafel Day?
June the 12th
Common population experiencing this disorder?
A) Women in their teens to early 20s
B) Women in their 40s
C) Men in their teens to early 20s
D) Men in their 60s
A) Women in their teens to early 20s
A client who is 5 foot 6 inches tall and weighs 98 pounds is admitted with a medical diagnosis of anorexia nervosa. Which nursing diagnosis would take priority at this time?
A. Ineffective coping R/T food obsession
B. Altered nutrition: less than body requirements R/T inadequate food intake
C. Risk for injury R/T suicidal tendencies
D. Altered body image R/T perceived obesity
Answer: B
Altered nutrition: less than body requirements R/T inadequate food intake
Binging episodes in Binge eating disorder are usually followed by?
A) Purging
B) Joy
C) Guilt
D) Exercise
C) Guilt
(Binge -> Guilt -> Purge -> Guilt -> Restrict Food -> Binge)
What is Saint Thomas the saint of?
Architects Or Judges
What is the only FDA approved medication for bulimia?
A) Antianxiety: Lorazepam (Ativan)
B) Antianxiety: Clonazepam (Rivotril)
C) Antidepressant: Fluoxetine (Prozac)
D) Antidepressant: Sertraline (Zoloft)
C) Antidepressant: Fluoxetine (Prozac)
A nurse is seeing a client in an outpatient clinic for treatment of anorexia nervosa. Which is the most appropriate, correctly written short-term outcome for this client?
A. The client will use stress-reducing techniques to avoid purging.
B. The client will discuss chaos in personal life and be able to verbalize a link to purging.
C. The client will gain 2 pounds prior to the next weekly appointment.
D. The client will remain free of signs and symptoms of malnutrition and dehydration.
Answer: C
The client will gain 2 pounds prior to the next weekly appointment.
Who is MOST at risk for developing a binging/purging eating disorder? (gender and age group)
Female Teens
(specifically around the age of 12)
What's the Texas State Dinosaur?
Pleurocoelus or Paluxysaurus Jonesi