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NURS 5462 OBESITY/EATING DISORDERS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

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NURS 5462 OBESITY/EATING DISORDERS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS Anorexia Refusal to maintain minimal weight and intense fear of gaining weight. Risk factors—female; family hx of an eating disorder; perfectionist or OCD type personality traits; society that values thinness...

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  • November 2, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
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NURS 5462 OBESITY/EATING DISORDERS EXAM

QUESTIONS AND ANSWERS WITH COMPLETE

SOLUTIONS

Anorexia

Refusal to maintain minimal weight and intense fear of gaining weight. Risk factors—

female; family hx of an eating disorder; perfectionist or OCD type personality traits;

society that values thinness

1 in 10 of these folks have sudden death from starvation, cardiac arrest or suicide

Associated with MDD [65%]; social phobia; OCD Mortality is 20 percent from AN

Bulimia

—binge eating followed by compensatory methods to prevent weight gain, Binge eating

is defined as eating a large amount of food within a 2° period • Compensatory behaviors

—self induced vomiting; misuse of diuretics, laxatives or enemas; excessive exercise or

fasting; abuse of thyroid hormone replacement medications or stimulants

Those with BN

who cycle between binging and extreme food restriction have a worse prognosis than

those who just purge Most with BN are not underweight—they are of normal weight or

overweight—distinguishing it from AN

Introduction—Binge-Eating Disorder

Recurrent episodes of binge eating without compensatory use of vomiting, laxatives,

emetics or diuretics Binges are usually triggered by emotions related to work or school

, stress, fear of abandonment or loss Associated with a FH of Binge-Eating Disorder

Patient is usually of normal weight or overweight

Clinical Presentation—Anorexia

Warning signs: Substantial weight loss? • Depression or mood swings? • Preoccupation

with weight, calories and/or food? • Wear baggy clothes? • History of excessive

exercise? On exam—look for emaciation, cachexia, dry skin, lanugo hair, edema,

enlarged parotid glands

Anorexia symptoms

• Amenorrhea • Constipation • Abdominal pain • Hypothermia • Lethargy or fatigue •

Anxious • Headaches

Clinical Presentation—Bulimia Nervosa

Any significant weight loss or gain? • Depression? • Great concern for weight? • Visit to

the bathroom after meals? • Alluded to strict dieting or binging cycles? • Marked

criticism of his or her body?

• On labs—look for low K+, low Cl-, low Na++, elevated bicarbonate, metabolic alkalosis

[from vomiting], metabolic acidosis [from diarrhea if abusing laxatives], elevated

amylase

*Russel sign

BN SX

• Irregular menses • Abdominal pain • Fatigue or lethargy • Peripheral edema • Bloating

• Depression • Acid reflux • Sore throat

Clinical Presentation—Binge Eating Disorder

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