NSG 121 Final Exam latest update
2024-2025 questions with complete
solutions (GRADED ANSWERS- [Document subti tle]
FULLY SOLVED)
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,eating disorders - ANSWER -a serious psychiatric illness with devastating and
potentially fatal medical conditions
have the highest mortality rate of all mental illnesses - ANSWER -eating disorders
eating disorder categories - ANSWER -anorexia nervosa type I, anorexia nervosa
type II, bulimia nervosa, binge eating disorder
anorexia nervosa - ANSWER -individual engages in self-starvation. expresses fear of
gaining weight. has a disturbance in how they evaluate their weight
anorexia nervosa type I - ANSWER -restricts intake of food
anorexia nervosa type II - ANSWER -engages in binge eating and/or purging
bulimia nervosa - ANSWER -person engages in repeated episodes of binge eating
followed by inappropriate compensatory behaviors
binge eating disorder - ANSWER -person engages in repeated episodes of binge
eating, after which they feel distressed
physique of those with binge eating disorder - ANSWER -clearly overweight
anorexia type II vs bulimia - ANSWER -diagnosis depends on belief system. anorexia
type II is egosyntonic (believing it's okay) whereas bulimia is egodystonic (knowing
it's wrong)
the number of individuals with eating disorders - ANSWER -unknown
estimate of females with anorexia - ANSWER -1%
,estimate of males with anorexia - ANSWER -0.3%
estimate of females with bulimia - ANSWER -1.5%
estimate of males with bulimia - ANSWER -0.5%
what we want to address with eating disorders - ANSWER -the underlying emotions.
why are they doing what they're doing? what's driving the behavior?
sports with an increase of eating disorders - ANSWER -wrestling, gymnastics,
cheerleading, boxing
when anorexia appears - ANSWER -in early to mid adolescence
when bulimia appears - ANSWER -typically in late adolescence
amount of individuals with anorexia who have a concurrent psychiatric disorder -
ANSWER -50%
amount of individuals with bulimia who have a concurrent psychiatric disorder -
ANSWER -95%
theories of etiology for eating disorders - ANSWER -neurobiological, genetics,
psychological
neurobiological theory for eating disorders - ANSWER -there is an alteration in
serotonin receptors and transporters
genetics theory for eating disorders - ANSWER -genetic vulnerability
psychological theory for eating disorders - ANSWER -psychological determinants
such as low self-esteem and control issues play a role
, sociocultural influences on eating disorders - ANSWER -globalization has exposed
minorities and non-western societies to the 'value' of the thin ideal beauty
points from the therapeutic alliance for eating disorders - ANSWER -must remember
that the client does not choose this behavior. do not assume a parental role. be
aware of counter transference. remember the goal of treatment is the client's
greatest fear
signs and symptoms of anorexia - ANSWER -extreme fear of obesity and gaining
weight. preoccupation with/constant thoughts of food. view of self as fat even when
emaciated. judges self worth by his/her weight. peculiar handling of food, enjoys
being around food. controls what he/she eats to feel powerful. possible
development of rigorous exercise routine. possible self induced vomiting. use of
diuretics or laxatives. loss of at least 25% of original body weight. refusal to
maintain minimal body weight. amenorrhea
signs and symptoms of bulimia nervosa - ANSWER -binge eating behaviors (usually
in solitude). increased mood while eating; decreased mood when stops. generally
sleeps after eating. self induced vomiting (or laxative or diuretic use after binging)
when binge is over. history of anorexia. depressive signs and symptoms. problems
with interpersonal relationships, self concept and impulsivity. increased anxiety.
possible chemical dependency. possible impulsive stealing. attempts to control
weight due to feelings of 'emptiness'
eating disorders and other psychiatric disorders - ANSWER -higher percentage of
those with bulimia who also have other psychiatric disorders
some medical complications that can result from anorexia nervosa - ANSWER -
bradycardia. orthostatic changes in pulse rate or blood pressure. cardiac murmur -
1/3 with mitral valve prolapse. sudden cardiac arrest caused by profound electrolyte
disturbances. prolonged QT interval on electrocardiogram. acrocyanosis.
symptomatic hypotension. leukopenia. lymphocytosis. carotenemia (elevated
carotene levels in blood), which produces skin with yellow pallor. hypokalemic
alkalosis (with self-induced vomiting or use of laxatives and diuretics). elevated
serum potassium levels, hypochloremia, and hypokalemia. electrolyte imbalances,
which lead to fatigue, weakness, and lethargy. osteoporosis, indicated by low bone
density. fatty degeneration of liver, indicated by elevation of serum enzyme levels.
elevated cholesterol levels. amenorrhea. abnormal thyroid functioning. hematuria.
proteinuria
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