Mental Health Final Review Part 2

Eating disorders

100

What are the signs of Anorexia Nervosa? 

• Low weight 

• Amenorrhea

• Yellow skin 

• Lanugo 

• Cold extremities 

• Muscle weakening 

• Low Thyroxine level 

• Hyporention 

• Bradycardia 

• Anemia 

• Hypokalemia 

• Headache 

• Fatigue 

• Peripheral Edema 

200

What is an extreme BMI

Less than 15

300

What history does the nurse want to obtain during assessment?

• Perception of problem 

• Eating habits

• History of dieting 

• Methods used

• Value attached to specific weight 

• Interpersonal/social functioning 

• Mental status

400

What symptoms of anorexia have the highest priority if present?

• Suicidal Ideation

• EKG changes

• Electrolyte imbalances (K, Mg, Na, Ch)

• Fluid Balance

• Kidney damage/disease

500

What labs does the nurse want to look at with anorexia nervosa?

Electrolyte 

Thyroid 

CBC

ECG

Eating Disorders

100

What should you do as a nurse for a patient with anorexia nervosa?

• Assess suicidal ideation

• Don’t judge/milieu therapy

• Slowly begin to refeed

• Monitor bathroom trips after eating 

• Regular weighing

• Medications

200

What should you do as a nurse for a patient with anorexia nervosa?

• Assess suicidal ideation

• Don’t judge/milieu therapy

• Slowly begin to refeed

• Monitor bathroom trips after eating 

• Regular weighing

• Medications

300

What are nursing interventions for anorexia nervosa?

• Assess for SI 

• Treatment goal of 90% body weight 

• Monitoring bathroom trips 

• Daily weights 

• Go on scale backwards 

400

Signs of Bulimia Nervosa?

• Normal body weight 

• Dental erosion 

• Enlargement of parotid glands 

• Dental caries 

• Calluses on hand or finger (Russells Sign)

• Gastric dilation, rupture 

• Peripheral Edema 

• Muscle weakening

500

What labs change with Bulimia?

Hypokalemia 

Hyponatremia

Hypomagnesemia 

Eating Disorders

100

What medications are used for binge eating disorders?

• SSRI

• Topiramate

• TCA

• Vanyse

200

What is the binge-purge cycle?

1. Strict dieting 

2. Diet slips or difficult situations happen s

3. Binge eating occurs 

4. Purging to avoid weight gain 

5. Feelings of self-hatred 

300

What is PICA?

• Eating substance with no nutritional value

• Dirt, Paint 

• Happens in childhood 

400

What is rumination?

• Undigested food being returned to the mouth to be rechewed and swallowed 

500

What is an avoidant eating disorder?

• Lack of interest with eating foods 

Sexual Disorders

100

What are Exhibitionistic?

• Men exposing himself in front a women 

• Becomes aroused by the reaction 

200

What is Fetishistic Disorder?

• Sexual focus on objects 

• Shoes, Gloves, pantyhose 

300

What is Frotteuristic disorder?

• Rubbing or touching a nonconsenting person 

400

What is Pedophilic disorder?

• Interest in prepubescent women/men

500

What is sexual sadism?

• Sexual arousals' from humiliating's a person 

Sexual Disorders

100

What is sexual Masochism? 

• Sexual arousal of being humiliated 

200

What is transvestic disorder?

• Sexual satisfaction by dressing as the opposite gender 

300

What is voyeuristic disorder?

• Peeping tom 

• Secretly viewing someone