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Eating DisordersPsychiatric Nursing: Contemporary Practice

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Question Answer
What is included in the behavioral plan as part of a weight-increasing protocol for patients who are hospitalized with anorexia nervosa?
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Positive reinforcements in the form of excursion passes, family visits, negative reinforcements in the form of bed rest along with the understanding that the reinforcements aren't punitive.
What does it mean when people with anorexia nervosa are described as hyperkinetic?
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They experience sleep disturbances in which they sleep very little but awake energized. Typically these patients are relegated to bed rest to prevent expenditure of energy.
T/F Exercise is encouraged duing the refeeding stages of anorexia nervosa treatment in order to prevent muscle wasting.
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False, exercise is generally not permitted during refeeding and only with caution after.
What behaviors are common among patients with anorexia nervosa?
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An intense fear of weight gain, unrealistic expectations and thinking, and ritualistic behaviors, tendency to avoid conflict.
Patients with anorexia nervosa often experience a lack of interoceptive awareness. What intervention is used to help patients develop a better one?
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Have them keep a journal that describes a somatic complaint and identify the underlying emotion (like guilt, anger) and the situation that may be underlying the feeling.
What is the first step in helping patients decrease conflict avoidance and develop effective strategies for coping with negative feelings?
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Help them identify the feelings
What therapies are utilized to help patients with anorexia nervosa learn to experience pleasure from their bodies?
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Movement and dance therapies
__________ is a type of treatment that focuses on uncovering and resolving developmental and psychological issues underlying anorexia nervosa. Role transitions, control and ineffective feelings are typically the focus.
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Interpersonal therapy (IPT)
Setting realisitic ________ goals in one of the most helpful interventions for patients with eating disorders.
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Eating
What are the 5 common cognitive distortions demonstrated by patients with anorexia nervosa?
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Dichotomous thinking, magnification (i.e. I am huge because I binged last night), selective abstraction (I can only be happy if I weigh 10 lbs. less), overgeneralization, and catastrophizing.
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What type of cognitive distortion is demonstrated by the statement, I can only be happy if I weigh 10 lbs. les?.
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Selective abstraction
When providing education to family and friends about how they can help a patient with anorexia nervosa, what should you tell them NOT to discuss?
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Calories, weight, particular eating habits, the patient's appearance
What type of group is not recommended for patients with anorexia nervosa and why?
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Self-directed support groups because they can actually delay or prevent treatment. Patients have been found to exchange maladaptive eating strategies.
When is group therapy appropriate for a patient with anorexia nervosa?
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After full recovery to maintain recover
Which eating disorder is more prevalent, anorexia nervosa or bulemia nervosa?
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Bulemia
T/F People with bulemia nervosa are usually a normal body weight.
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TRUE
What are typically the personality characteristics of patients with bulemia nervosa?
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They are overwhelmed, overly committed, social butterflies, and have difficulty setting limits and establishing boundaries.
What are the characteristics of the restricting type of bulemia nervosa?
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Restriction of food is followed by binge eating, then another strict restriction of food.
What are the characteristics of the purging type of bulemia nervosa?
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Restriction of food is followed by binge eating, then by purging.
What are the methods of purging associated with bulemia nervosa?
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Vomiting, use of laxatives, diuretics, or emetics
What is the criteria for a diagnosis of bulemia nervosa?
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Episodes of purging, binging or restriction that occur at least twice a week for 3 monnths or more.
  
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