Anorexia Nervosa

Front 1

D/o can be life threatening, fears of gaining wt,disturbed body image,is postmenopausal(amenorrhea:3 cycles),15%wt loss,low met rate?

Back 1

Anorexia nervosa

Front 2

Name characteristics of client with Anorexia nervosa?

Back 2

1.perfectionist
2.sport/profession req thinness
3.disregard trad.femininity
4.lack of A.tissue
5.Hirsutism
6.low choles/sugar
7.chronic/progressive disease

Front 3

What is the process of AN?

Back 3

1.r/o med problems(CA,TB,HIV)
2.r/o drug abuse

Front 4

Assessment of a client with AN reveals?

Back 4

1.obsession with food
2.enjoys cooking for others
3.obsessed with exercise
4.feels anxious/out of control
5.distorted body image:sees themselves as fat
6.reasons for anorexia

Front 5

Cardinal sign when assessing a female pt who lost wt and 15% or less under ideal wt?

Back 5

Amenorrhea(3 cycles)

Front 6

Repeated episodes of uncontrolled eating also known as compulsive over eating=obesity?

Back 6

Binge eating disorder

Front 7

A person with Binge-eating d/o may experience?

Back 7

1.anxiety
2.depression
3.low self esteem
4.poor body image
5.guilt and self disgust

Front 8

Why do clients eat so much? are they hunger all the time?

Back 8

1.Not assoc with hunger
use food to:
calm and nurture(love) coping mechanism for anxiety

Front 9

binging usually large amounts of soft,easily digested foods client does this?

Back 9

secretively

Front 10

Assessment of client with bing eating d/o?

Back 10

Assess for psychological factors,low SE,anger,guilt
-attemts to lose wt
-uses food as subs.for love
-med hx:due to meds
-

Front 11

Which theory stated: unconscious conflicts, regression, fear of sexuality maturity?

Back 11

Psychoanalytic theory: Freud

Front 12

Theory implies, anorexia is a rejection of feminine form and attemt to regain body of child?/

Back 12

psychoanalytic theory:Freud

Front 13

Theory implies compulsive over eating -due to unmet oral needs during infancy, feels empty,?

Back 13

psychoanalytic theory:freud

Front 14

theory implies their is unconscious intra/interpersonal conflicts in family?

Back 14

Family systems

Front 15

Anorexic fam, has what expectations on child and what are the consequences?

Back 15

-overly compliant child
-conflict b/w enslavemnt/autonomy

Front 16

Hallmark is loss of control
-physical dependency
-psychological dependency

Back 16

Substance dependence

Front 17

need more of the substance to get same effect?

Back 17

tolerance

Front 18

DSM criteria for substance abuse?

Back 18

one or more in 12mt period
1.recurrent use/role failure
2.creates physical hazard con
3.legal problems
4.disturbed interperson.rltnsp

Front 19

Physiological response when drug is withdrawn, assoc with tolerance?

Back 19

Withdrawal

Front 20

Occurs when a person has become tolerant to one fam of chemicals and becomes tolerant to the effects of other similar drugs?

Back 20

cross-tolerance

Front 21

Biopsychosocial theories of substance use?

Back 21

alcohol proceeds in phases:loss of control
genetic vulnerability
Neuro defects(ADHD)

Front 22

Rescues the chemically dependent person from consequences of their behavior?

Back 22

Codependent

Front 23

effects of alcoholisM?

Back 23

depression
malnourished
loss of self-respect

Front 24

Name minor withdrawal sx of alcoholism?

Back 24

anxiety
agitation
irritability
n/v

Front 25

Name major w/d sx of ETOH?

Back 25

life threatening
HTN
high HR
confused
tremors
hallucinations
seizures

Front 26

What makes alcohlism a disease?

Back 26

1.biological
2.primary
3.progressive
4.chronic
5.fatal

Front 27

whats the med.tx for alcoholism?

Back 27

1.V/s frequently
2.F/E balance
3.mag.sulf(prevent seizures)
4.dilantin(hx of seizures)
5.Vit:thiamine/mult vit(B)
6.BDZs to prevent SZ &DT
7.librium/valium

Front 28

Name amphetamine intoxication symptoms?

Back 28

1.energetic/euphoric
2.wt loss
3.altered judgment
4.dilated pupils
5.Rowdy
6.paranoid
7.psychoses

Front 29

Name amphetamine withdrawal symptoms?

Back 29

1.depression
2.fatigue
3.restless
4.no sleep
5.suicidal
6.crashing:depression

Front 30

Barbiturate intoxication?

Back 30

euphoric
relaxed
helps with sleep

Front 31

barbiturate withdrawal?

Back 31

life threatening
decrease respiration
seizures
coma/insomnia
anxiety

Front 32

Opioid/narcotic intoxication?

Back 32

drowsy
out of touch
euphoric
impaired memory
pin point pupils

Front 33

opioid/narcotic withdrawal?

Back 33

diaphoresis
cramping
flu like ss
dilated pupils
muscle/joint pain

Front 34

Cocaine intoxication?

Back 34

agitation
dilated pupils
htn,high HR, talkative,

Front 35

cocaine withdrawal?

Back 35

severe cramping
fatigue
agitation
hyper insomnia

Front 36

what health care providers at risk?

Back 36

Nurses
codependence
stressful work environment
self medicated
known behaviors of abuse
self awareness

Front 37

Nursing attitudes toward clients with substance use d/o?

Back 37

help with self awareness
health and relationships
-self knowledge(countertransference)

Front 38

Common defense mechanism of substance use d/o?

Back 38

denial
projection
rationalization

Front 39

Treatment for withdrawal?

Back 39

1.safety
2.provide sitter if needed
3.monitor v/s
4.seizure precaution
5.point out reality
6.adjust room lights
7.monitor I/O
8. do not restrain

Front 40

HALT common in clients that relapse stands for?

Back 40

hungry
angry
lonely
tired

Front 41

Meds for clients that relapse?

Back 41

Naltrexone(Revia
disulfram(antabuse)
acamprostate(Campral)

Front 42

Treatment approaches for client with substance use d/o?

Back 42

1.confrontation
2.referral and self help grps
3.life style changes:cope mec
4.intervention
5.educate

Front 43

co-occurring d/o?

Back 43

mental illness and substance abuse d/o

Front 44

who is higher risk for substance abuse?

Back 44

mentally ill (Axis 1)

antisocial/borderline(axis 2)

Front 45

Treatment for client with dual dx?

Back 45

antidepressants(ssris)
2nd generation antipsychotics

Front 46

with dual dx what anti anxiety meds is preffered?

Back 46

Buspar, klonopin

Front 47

co-existing problems seen in the E.D?

Back 47

1.drunk-suicidal
2.chronic cocaine use-suicide attemt/M.I or CVA
3.Cocaine crash:severe depression
4.stimulants:hallucinations

Front 48

Assessment of client with substance use d/o?

Back 48

be non judgmental
ask open ended questions
look for denial in pt
appearances:v/s neuro,toxic screen

Front 49

What substance should not be used with prescribed meds?

Back 49

stimulant:speed,cocaine
depressants
marijuana/hallucinogenics
tobacco

Front 50

treatment model
1.sequential?
2.parallel?
3.intergraded?
Most accepted principle?

Back 50

1.most severe d/o tx 1st
2.tx d/o simultaneosly
3.one program provides both
abstinence

Front 51

Nursing care must take into account:

Back 51

-socialization
-relapse prevention
-suicide precaution