NSG Psych 2271 Exam III Test With
Complete Solution
What part of the brain controls the appetite regulation center? - ANSWER
hypothalamus
What are the two things that influence eating behaviors? - ANSWER Society
Culture
What are some key things about Anorexia Nervosa? - ANSWER Morbid fear
of obesity
Refusal to eat
Constant worrying of their weight
Extreme weight loss
Anxiety and depression
Low sodium
What are some characteristics of Bulimia Nervosa? - ANSWER Rapid
ingestion of large quantities of food over a short period of time, then PURGE
Fasting or excessive exercise
Normal weight range
Callused fingers
Yellowing of the fingers
,What are some characteristics of Binge Eating Disorder? - ANSWER Eating
disorder that can lead to OBESITY
Binge eat but DO NOT purge
Will often eat in private and are disgusted by themselves
What are some biological influences of Eating Disorders? - ANSWER Genetics,
Neuroendocrine abnormalities, and Neurochemical influences
What is the normal BMI range? - ANSWER 20 to 24.9
What is considered obese for BMI? - ANSWER 30 and above
What BMI is considered to be anorexic? - ANSWER 17 or lower, less than 15
in extreme cases
What are some NSG diagnoses for Eating Disorders? - ANSWER Imbalanced
nutrition
Deficient fluid volume
Imbalanced nutrition
Disturbed body image / low self esteem
Anxiety
What is one of the main outcomes we look for in patients diagnosed with an
Eating Disorder? - ANSWER The patient has achieved and maintained at least
80% of expected body weight
What are some reasons a patient with an eating disorder may need to be
hospitalized? - ANSWER Malnutrition
Dehydration
, Severe electrolyte imbalance
What are some things we can do for a patient with an imbalanced
nutrition/deficit fluid volume? - ANSWER Determine appropriate calories to
provide adequate nutrition and weight gain
Do not focus on food and eating
Keep a strict record of I's & O's
What are some things we can do for a patient that is in denial about their
eating disorder? - ANSWER Establish a trusting relationship
Avoid arguing or bargaining
What are some things we can do for a patient that is obese? - ANSWER
Encourage diary of food intake
Provide instruction about medications
What is delirium? - ANSWER Disturbance in level of awareness and a change
in cognition
Develops rapidly over a short period but diminishes within 3-7 days
symptoms of delirium - ANSWER Difficulty sustaining and shifting attention
Extreme distractibility
Disorganized thinking
Speech that is rambling, irrelevant, pressured, and incoherent
Impaired reasoning ability and goal-directed behavior
Disorientation to time and place
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