Nursing 3Rd Semester: Mental Health Exam 2: Interventions In Groups & Eating Disorders

Front 1

Groups serve more than one function and usually serve different functions for different members of the group. What are the 8 functions that groups serve for their members?

Back 1

CIG NESTS
Cameraderie
Informational
Governance
Normative
Empowerment
Support
Task Completion
Socialization

Front 2

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?

group members provide assistance in endeavors that are beyond the capacity of one individual alone or when results can be achieved more effectively as a team

Back 2

Task Completion

Front 3

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?

Groups help to bring improvement in existing conditions by providing support to individual members who seek to bring about change. Groups have power that individuals alone do not.

Back 3

Empowerment

Front 4

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?

One's fellow group members are available in time of need. Individuals derive a feeling of security from group involvement

Back 4

Support

Front 5

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?
The cultural group into which we are born begins the process of teaching social norms. This is continued throughout our lives by members of other groups with which we become affiliated

Back 5

Socialization

Front 6

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?
Learning takes place within groups. Knowledge is gained when individual members learn how others in the group have resolved situations similar to those with which they are currently struggling.

Back 6

Informational

Front 7

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?

rules being made by committees within a larger organization

Back 7

Governance

Front 8

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?

Members of a group provide the joy and pleasure that individuals seek from interactions with significant others

Back 8

Camaraderie

Front 9

Which group function is served in the following description (Cameraderie, Informational, Governance, Normative, Empowerment, Support, Task Completion, Socialization)?
This function relates to the ways in which groups enforce established norms.

Back 9

Normative

Front 10

The functions of a group vary depending on the reason the group was formed. What are the 3 major types of groups in which nurses most often participate?

Another common type of group that nurses may or may not be involved in is the ....

Back 10

Task
Teaching
Supportive/Therapeutic

... self-help groups

Front 11

A group is a collection of individuals whose association is founded on shared commonalities of interest, values, norms, or purpose. Membership in a group is generally by ___ (born into the group), by ____ (voluntarily affiliation), or by _______ (the result of life-style events over which an individual may or may not have control.

Back 11

A group is a collection of individuals whose association is founded on shared commonalities of interest, values, norms, or purpose. Membership in a group is generally by CHANCE (born into the group), by CHOICE (voluntarily affiliation), or by CIRCUMSTANCE (the result of life-style events over which an individual may or may not have control.

Front 12

The function of a task group is to accomplish a specific outcome or task. The focus is on ____ing problems or making d_____ to achieve this outcome. Often a deadline is placed on completion of the task, and because such importance is placed on achieving the outcome, ____ in the group may be smoothed over or ignored in order to focus on the priority of completing the task.

Back 12

The function of a task group is to accomplish a specific outcome or task. The focus is on solving problems or making decisions to achieve this outcome. Often a deadline is placed on completion of the task, and because such importance is placed on achieving the outcome, conflict in the group may be smoothed over or ignored in order to focus on the priority of completing the task.

Front 13

Teaching, or educational, groups exist to convey knowledge and information to a number of individuals. Nurses can be involved in teaching groups of many varieties, what are some examples? These groups usually have a set time frame or a set number of meetings. Members learn from each other as well as from the designated instructor. What is the objective of a teaching group?

Back 13

Teaching, or educational, groups exist to convey knowledge and information to a number of individuals. Nurses can be involved in teaching groups of many varieties, such as medication education, childbirth education, BS-E, diabetes management, management of cardiac disease, and parenting classes. These groups usually have a set time frame or a set number of meetings. Members learn from each other as well as from the designated instructor. The objective of teaching groups is verbalization or demonstration by the learner of the material presented by the end of the designated period.

Front 14

What is the primary concern of support groups?

Back 14

to prevent future upsets by teaching participants effective ways of dealing with emotional stress arising from situational or developmental crisis

Front 15

Who leads a "group therapy" type group? Several theories are used by the group therapy leaders to encourage improvement in the ability of group members to function on an ________ level.

Back 15

Leaders of group therapy generally have advanced degrees in psychology, social work, nursing, or medicine. They often have additional training or experience under the supervision of an accomplished professional in conducting group psychotherapy based on various theoretical frameworks such as psychoanalytic, psychodynamic, interpersonal, or family dynamics. Approaches based on these theories are used by the group therapy leaders to encourage improvement in the ability of group members to function on an interpersonal level.

Front 16

In contrast to group therapy, therapeutic groups are based to a lesser degree in theory. Focus is more on what?
Like group therapists, individuals who lead therapeutic groups must be knowledgeable in "group process" which is what? What are some examples?
Individuals who lead therapeutic groups also must have thorough knowledge of ___ _____, the topic or issue being discussed within the group, and the ability to present the topic in language that can be understood by all group members. Few/many nurses who work in psychiatry lead support or therapeutic groups.

Back 16

Group process is the way in which group members interact with each other. Some examples are interruptions, silences, judgements, glares, and scapegoating.
Individuals who lead therapeutic groups also must have thorough knowledge of group content, the topic or issue being discussed within the group, and the ability to present the topic in language that can be understood by all group members. Many nurses who work in psychiatry lead support or therapeutic groups.

Front 17

What type of group is usually related to some disease or dysfunction and allows clients to talk about their fears and relieve feelings of isolation, while receiving comfort and advice from others undergoing similar experiences?
What are some examples of this type of group?

Back 17

Self-Help groups

AA, NA, Weight Watchers, Overeaters Anonymous, Alzheimer's Disease & Related D/O's, Anorexia Nervosa and associated D/O's, Parents without Partners, and Adult Children of Alcoholics

Front 18

True or False: Self- Help Groups may or may not have a professional leader or consultant. They are run by members, and leadership often rotates from member to member.

Back 18

true

Front 19

In self-help groups, the nurse may function as a referral agent, resource person, member of an advisory board, or leader of the group. The nurse may become involved in the self-help group voluntarily or because their advice or participation is requested by other members. What should the nurse do before making a referral to a self- help group?

Back 19

The nurse should be knowledgeable about the purposes of the group, membership, leadership, benefits, and problems that might threaten the success of the group before making referrals. The nurse may find it necessary to attend several meetings, if possible, to assess its effectiveness of purpose and appropriateness for client referral.

Front 20

The seating or physical conditions for the group should be set so that there is no ____ between the members. Which is better a circle of chairs or chairs set around a table? Should members sit in the same or different seats at each meeting? Why or why not?

Back 20

The seating or physical conditions for the group should be set so that there is no BARRIER between the members. A circle of chairs is better.
Members should be encouraged to sit in different chairs each meeting. This openness and change creates an uncomfortableness that encourages anxious and unsettled behaviors that can then be explored within the group.

Front 21

Group size does make a difference in the interaction among group members. What is implied or what is the problem with too many or too few members? What is the ideal size of a group?

Back 21

Larger group- less time to devote to individual members, those more aggressive are most likely to be heard, whereas quieter members may be left out of the discussions altogether. They do however provide more opportunities for individuals to learn from other members. The wider range of life experiences and knowledge provides a greater potential for effective group problem-solving.
About 6-10 or 7-8 members is usually considered ideal.

Front 22

Therapeutic groups are helpful because individuals can achieve many things through interpersonal interactions within the group. These are called curative factors, and some are present in most groups in varying degrees. What are the 11 curative factors?

Back 22

BICHES GUIAC
B- imitative Behavior
I- imparting of Information
C-Catharsis
H- Hope (instillation of)
E-Existential factors
S- development of Socializing techniques
G-Group cohesiveness
U-Universality
I- Interpersonal learning
A-Altruism
C- Corrective recpatiluation of the primary family group

Front 23

Which curative factor is described:

One who has mastered a particular psychosocial skill or developmental task can be a valuable role model for others. Individuals may mimic selected behaviors that they wish to develop.

Back 23

Imitative behavior

Front 24

Which curative factor is described:

By observing the progress of others in the group with similar problems, a group member is optimistic hat his or her problems can also be solved.

Back 24

Instillation of Hope

Front 25

Which curative factor is described:

the group is able to help individual members take direction of their own lives and to accept responsibility for the quality of their life.

Back 25

Existential factors

Front 26

Which curative factor is described:
This is assimilated by group members through mutual sharing and concern for each other. Providing assistance and support to others creates a positive self-image and promotes self-growth.

Back 26

Altruism

Front 27

Which curative factor is described:
Group members are able to reexperience early family conflicts that remain unsolved. Attempts at resolution are promoted through feedback and exploration.

Back 27

Corrective recapitulation of the primary family groups

Front 28

Which curative factor is described:
Within the group, members are able to express both positive and negative feelings-- perhaps feelings that have never been expressed before- in a nonthreatening atmosphere. This open expression of feelings is beneficial for the individual within the group.

Back 28

Catharsis

Front 29

Which curative factor is described:
Individuals come to realize that they are not alone in the problems, thoughts, and feelings they are experiencing. Anxiety is relieved by the support and understanding of others in the group who share similar experiences.

Back 29

Universality

Front 30

Which curative factor is described:
Knowledge is gained through formal instruction as well as the sharing of advice and suggestions among group members

Back 30

Imparting of information

Front 31

Which curative factor is described: the group offers many and varied opportunities for interacting with other people. Insight is gained regarding how one perceives and is being perceived by others

Back 31

Interpersonal Learning

Front 32

Which curative factor is described:
Through interaction with and feedback from other members within the group, individuals are able to correct maladaptive social behaviors and learn and develop new social skills

Back 32

development of Socializing techniques

Front 33

Which curative factor is described: Members develop a sense of belonging that separates the individual "I am" from the group "we are." Out of this alliance emerges a common feeling that both individual members and the total group are of value to each other

Back 33

Group Cohesiveness

Front 34

Whether a group is open- or closed-ended is another condition that influences the dynamics of group process. Describe the difference between the two types.

Back 34

Open-ended: members leave and others join at any time while the group is active. The continuous movememnt of members in and out of the group creates the type of discomfort that encourages unsettled behaviors in individual members and fosters the exploration of feelings. These are the most common types of groups held on short-term inpatient units, although they are used in outpatient and long-term care facilities as well.

Closed-ended groups usually have a predetermined, fixed time frame. All members join at the time the group is organized and terminate at the end of the designated time period. Close-ended groups are often composed of individuals with common issues or problems they wish to address.

Front 35

True or False: Some groups become fixed in early developmental levels and never progress, or experience periods of regression in the developmental process, as do individuals.

Back 35

true

Front 36

Describe Phase I of group development.

Back 36

Phase I: Initial or Orientation
Establish rules
Establish goals
Determine Time & Place
Members are introduced to each other
Leader is expected to orient members to specific group processes, encourage members to participate without disclosing too much too soon, promote an environment of trust, and ensure that rules established by the group don't interfere with fulfillment of the goals.
Trust is not yet established and members will respond to this by being overly polite.
There is fear of not being accepted. Members may try to get on the good side of the leader with compliments and conforming behaviors. A power struggle may ensue as members complete for their position in the "pecking order" of the group.

Front 37

Describe Phase II of group development.

Back 37

Phase II: Middle or Working Phase
Cohesiveness is established (ideally)
Productive work toward completion of the task is done
through problem solving & decision making
Cooperation prevails; disagreements and differences are confronted and resolved (in mature groups)
The role of the leader diminishes & becomes more one of facilitator- helps resolve conflict and continues to foster cohesiveness among the members while ensuring that they don't deviate from the intended task or purpose.
Trust has been established- members often turn to each other rather than the leader for guidance.
Members accept criticism from each other and use it constructively to make changes.

Occasionally, subgroups will form in separation from the rest of the group. To maintain group cohesion, these subgroups must be confronted and discussed by the whole group. Conflict is managed by the group with minimal assistance from the leader.

; some members may take on leadership roles.

Front 38

Describe Phase III of group development.

Back 38

Phase III: Final or Termination Phase
Leader encourages the group members to reminisce about what has occurred within the group, to review the goals and discuss the actual outcomes, and to encourage members to provide feedback to each other about individual progress within the group. The leader encourages members to discuss feelings of loss associated with the termination of the group.
Successful termination of the group may help members develop the skills needed when losses occur in other dimensions of their lives.

Front 39

The longer a group has been in existence, the more difficult termination is likely to be for the members. When should termination be first mentioned? It should be discussed several meeting prior to the final session. A sense of ___ that precipitates the ___ process may be evident, particularly in groups that have been unsuccessful/successful in their stated purpose.

Back 39

The longer a group has been in existence, the more difficult termination is likely to be for the members. Termination should first be mentioned at the onset (beginning) of group formation. It should be discussed several meeting prior to the final session. A sense of loss that precipitates the grief process may be evident, particularly in groups that have been successful in their stated purpose.

Front 40

Members may express surprise over the actual materialization of the end of a group (the termination phase). This represents the grief response of ____, which may then progress to ___-- which, if expressed toward group members or toward the leader, may reflect feelings of ______. These feelings may lead to individual members' discussions of previous losses for which similar emotions were experienced.

Back 40

Members may express surprise over the actual materialization of the end of a group (the termination phase). This represents the grief response of denial, which may then progress to anger-- which, if expressed toward group members or toward the leader, may reflect feelings of abandonment. These feelings may lead to individual members' discussions of previous losses for which similar emotions were experienced.

Front 41

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
focus is on the members

Back 41

democratic

Front 42

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
focus is on the leader

Back 42

autocratic

Front 43

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
focus is undetermined

Back 43

laissez-faire

Front 44

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
No defined strategy to complete the task exists, member participation is inconsistent, and individual creativity is not addressed.

Back 44

laissez-faire

Front 45

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
The strategy for completing the task is that the members engage in group problem-solving and member participation is unlimited

Back 45

democratic

Front 46

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
Member enthusiasm/morale is low
Group cohesiveness is low
Productivity is low

Back 46

laissez-faire

Front 47

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
The strategy for completing tasks is that members are persuaded to adopt the leader's ideas

Back 47

autocratic

Front 48

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
group cohesiveness is low
member morale is low
productivity is high

Back 48

autocratic

Front 49

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
Individual creativity is encouraged.
Morale, group cohesiveness, and productivity are high

Back 49

democratic
(productivity may not be as high as autocratic)

Front 50

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
Individual motivation & commitment is low due to feelings of frustration from lack of direction or guidance)

Back 50

laissez-faire

Front 51

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
Individual motivation & commitment are low (members tend to only work when the leader is present to urge them to do so)

Back 51

autocratic

Front 52

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
Individual motivation and commitment is high (satisfaction derived from personal input and participation)

Back 52

democratic

Front 53

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
Individual creativity is stifled (suppressed) and member participation is limited

Back 53

autocratic

Front 54

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
"We will do it my way; my way is best"

Back 54

autocratic

Front 55

The approach of the autocratic leader is one of ______, striving to convince others in the group that his or her ideas and methods are superior.

Back 55

pursuasion

Front 56

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
The message conveyed to the group is, "Decide what must be done, consider the alternatives, make a selection, and proceed with the actions required to complete the task."

Back 56

democratic

Front 57

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
The leader provides guidance and expertise as needed.

Back 57

democratic

Front 58

Which leadership style is described (Autocratic, Democratic, Laissez-Faire):
allows people to do as they please

Back 58

laissez-faire
(no direction from leader
no defined goals
no decisions are made, no problems are solved, and no action is taken
Members become frustrated and confused.)

Front 59

Task roles within a group include coordinator, evaluator, elaborator, energizer, initiator, and orienter. Which role is described?

Outlines tasks and potential solutions

Back 59

Initiator

Front 60

Task roles within a group include coordinator, evaluator, elaborator, energizer, initiator, and orienter. Which role is described?

Clarifies ideas & suggestions that have been made, brings relationships together to pursue common goals

Back 60

Coordinator

Front 61

Task roles within a group include coordinator, evaluator, elaborator, energizer, initiator, and orienter. Which role is described?

Encourages & motivates the group to perform at its maximum potential

Back 61

Energizer

Front 62

Task roles within a group include coordinator, evaluator, elaborator, energizer, initiator, and orienter. Which role is described?

Maintains direction within the group

Back 62

Orienter

Front 63

Task roles within a group include coordinator, evaluator, elaborator, energizer, initiator, and orienter. Which role is described?

Examines group plans and performance, measuring against group standards & goals

Back 63

Evaluator

Front 64

Task roles within a group include coordinator, evaluator, elaborator, energizer, initiator, and orienter. Which role is described?
Explains & expands upon group plans & ideas

Back 64

Elaborator

Front 65

Maintenance roles within a group include compromiser, encourager, follower, gatekeeper, and harmonizer Which role is described?

offers recognition & acceptance of others' ideas and contributions

Back 65

Encourager

Front 66

Maintenance roles within a group include compromiser, encourager, follower, gatekeeper, and harmonizer Which role is described?

Encourages acceptance of and participation by all members of the group

Back 66

Gatekeeper

Front 67

Maintenance roles within a group include compromiser, encourager, follower, gatekeeper, and harmonizer Which role is described?
Listens attentively to group interaction as a passive participant

Back 67

Follower

Front 68

Maintenance roles within a group include compromiser, encourager, follower, gatekeeper, and harmonizer Which role is described?

Relieves conflict within the group by assisting members to reach a solution agreeable to all

Back 68

Compromiser

Front 69

Maintenance roles within a group include compromiser, encourager, follower, gatekeeper, and harmonizer Which role is described?

Back 69

Minimizes tension within the group by intervening when disagreements produce conflict

Front 70

Individual or personal roles that come about among the group are generally negative, and are usually when a person is overly concerned with his or her own needs and not enough about the other group members.

Back 70

true ( as far as the member roles described in the chapter/lecture go)

Front 71

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:

manipulates others to gain control

Back 71

dominator

Front 72

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:

talks about personal accomplishments in an effort to gain attention

Back 72

recognition seeker

Front 73

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:

uses the group to gain sympathy from others

Back 73

help-seeker

Front 74

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
behaves in an authoritarian manner

Back 74

dominator

Front 75

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
resists group efforts

Back 75

blocker

Front 76

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
shares intimate details about self with group

Back 76

seducer

Front 77

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
does not participate verbally, using silence because they are shy, uncomfortable with self-disclosure, may be seeking attention through silence, or perhaps waiting for the right moment to join in

Back 77

mute or silent member

Front 78

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:

expresses negativism and hostility toward other members

Back 78

aggressor

Front 79

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:

demonstrates rigid and sometimes irrational behaviors that impede group progress

Back 79

blocker

Front 80

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
maintains control of the group by dominating conversation

Back 80

monopolizer

Front 81

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
may frighten others in the group and inhibit progress with excessive premature self-disclosure

Back 81

seducer

Front 82

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
seeks to increase self-confidence from group feedback and lacks concern for others or for the group as a whole

Back 82

help seeker

Front 83

Individual roles among the group include aggressor, blocker, dominator, help-seeker, monopolizer, mute or silent member, recognition seeker, and seducer. Which is described:
may use sarcasm in effort to degrade the status of others

Back 83

aggressor

Front 84

A ______ is a specialized type of therapeutic group which employs a dramatic approach in which clients become "actors" in life-situation scenarios

Back 84

psychodrama

Front 85

In psychodrama, the group leader is the director, the members are the audience, and actors are members from the audience who agree to take part in the "drama" by role-playing a situation. The client who is struggling with a particular issue usually plays himself or herself as the ______. In this role, the client is able to express true feelings toward individuals (represented by group members) with whom he or she has unresolved conflicts. What are some benefits of psychodrama?
What is the role of the nurse in a psychodrama type group? What are the necessary credentials?

Back 85

In psychodrama, the group leader is the director, the members are the audience, and actors are members from the audience who agree to take part in the "drama" by role-playing a situation. The client who is struggling with a particular issue usually plays himself or herself as the protagonist. In this role, the client is able to express true feelings toward individuals (represented by group members) with whom he or she has unresolved conflicts. Benefits-
provides the client with a safer and less threatening atmosphere than the real situation in which to express true feelings
Resolution of interpersonal conflicts is facilitated
All members benefit either directly or indirectly (discussion afterward where observations, offering of feedback, expression of feelings, and relation to past similar experiences is shared)

Nurses often serve as actors or role players.
Leaders of psychodrama have graduate degrees in psychology, social work, nursing, or medicine with additional training in group therapy ans specialty preparation to become a psychodramatist.

Front 86

In family therapy, the family is viewed as a ___ in which the members are inter_____-- a change in one part (member) within the system affects or creates change in all other parts (members). The focus is not on the individual, but the family as a whole. The basic concept of this form of treatment is that it is faster, more logical, more satisfactory, and more economical to treat all members of a system of relationships than to concentrate on the person who is supposed to be in need of treatment.

Back 86

In family therapy, the family is viewed as a system in which the members are interdependent-- a change in one part (member) within the system affects or creates change in all other parts (members). The focus is not on the individual, but the family as a whole. The basic concept of this form of treatment is that it is faster, more logical, more satisfactory, and more economical to treat all members of a system of relationships than to concentrate on the person who is supposed to be in need of treatment.

Front 87

What does a nurse have to do to conduct family therapy?
What is the role of the generalist nurse?

Back 87

Nurses who conduct family therapy are expected to possess a graduate degree and have considerable knowledge of family theory. However, it is within the realm of the generalist nurse in psychiatry to contribute to the assessment and planning phases of family therapy and to ongoing observation and evaluation. Family consideration in individual client care is essential. Nurses should have a basic understanding of family dynamics and the ability to distinguish between functional and dysfunctional behaviors within a family system.

Front 88

Nurses are encouraged to use the steps of the ___ ___ as a framework for task group leadership.

Back 88

nursing process

Front 89

In psychiatry, nurses may lead various types of therapeutic groups, such as client education, assertiveness training (i.e. anger managment), support, parent, and transition to discharge groups, among others). To function effectively in the leadership role for these groups, nurses need to be able to recognize various processes that occur in groups (e.g. phases of group development, various roles people play within group situations, and motivation behind the behavior). They also need to be able to select the most appropriate nursing style for the type of group. Generalist nurses may develop these skills as part of their undergraduate education, or they may pursue additional study while serving and learning as the co-leader of a group with a more experienced nurse leader. Generalist nurses in psychiatry commonly/rarely serve as leaders of psychotherapy groups. What kind of criteria is required to be a leader for a psychotherapy group, to be a family therapist, or psychodramatist?

Back 89

Generalist nurses in psychiatry rarely serve as leaders of psychotherapy groups. Usually the criteria for a nurse to serve as a group psychotherapist is a minimum of a master's degree in psychiatric nursing. Other criteria include educational preparation in group theory, extended practice as a group co-leader, and participation in group therapy on an experiential level. Additional special training is required beyond the master's level to prepare nurses to become family therapists or psychodramatists.
Leading therapeutic groups is within the realm of nursing practice. Because group work is such a common therapeutic approach in the discipline of psychiatry, nurses working in this field must continually strive to expand their knowledge and use of group process as a significant psychiatric nursing intervention.

Front 90

A group of individuals who are bound by strong emotional ties, a sense of belonging, and a passion for being involved in one another's lives

Back 90

family

Front 91

Family therapy is a type of therapeutic modality in which the focus of treatment is on the family as a unit. It represents a form of intervention in which members of a family are assisted to identify and change problematic, mal______, self-_____, repetitive relationship patterns.

Back 91

Family therapy is a type of therapeutic modality in which the focus of treatment is on the family as a unit. It represents a form of intervention in which members of a family are assisted to identify and change problematic, maladaptive, self-defeating, repetitive relationship patterns.

Front 92

A form of psychosocial treatment in which a number of clients meet together with a therapist for purposes of sharing, gaining personal insight, and improving interpersonal coping strategies.

Back 92

group therapy

Front 93

The _______ contains the appetite regulation center within the brain. This complex neural system regulates the body's ability to recognize when it i hungry and whet it has been sated (satisfied).

Back 93

hypothalamus

Front 94

Eating behavior is now known to reflect an interaction between an organism's physiological state and environmental conditions. Salient (important, prominent) physiological variables include the balance of neuropeptides and neuro_____, _____ state and rate, condition of the _________ tract, amount of storage ____, and sensory receptors for ____ and ____. Environmental conditions include features of the food such as t____, t______, n_____, accessibility, and n______ composition, and other external conditions such as ambient temperature, presence of other people, and st____.

Back 94

Eating behavior is now known to reflect an interaction between an organism's physiological state and environmental conditions. Salient (important, prominent) physiological variables include the balance of neuropeptides and neurotransmitters, metabolic state and rate, condition of the gastrointestinal tract, amount of storage tissue, and sensory receptors for taste and smell. Environmental conditions include features of the food such as taste, texture, novelty, accessibility, and nutritional composition, and other external conditions such as ambient temperature, presence of other people, and stress.

Front 95

The incidence of anorexia nervosa has increased/decreased in the past 30 years. Studies indicate a prevalence in young women in the United States. Anorexia occurs predominantly in females ___ to ___ years of age. Fewer than 10% of the cases are males. Which is more prevalent, anorexia or bulimia?

Back 95

The incidence of anorexia nervosa has increased in the past 30 years. Studies indicate a prevalence in young women in the United States. Anorexia occurs predominantly in females 12 to 30 years of age. Fewer than 10% of the cases are males. Bulimia is more prevalent.

Front 96

When is the general onset of bulimia?
Cross-cultural research suggests that bulimia nervosa occurs primarily in societies that place emphasis on thinness as the model of attractiveness for women and where an abundance of ___ is available.

Back 96

in late adolescence or early adulthood

Cross-cultural research suggests that bulimia nervosa occurs primarily in societies that place emphasis on thinness as the model of attractiveness for women and where an abundance of food is available.

Front 97

Obesity has been defined as a body mass index of ___ or greater.
The percentage of obese individuals is higher among what race compared to whites? The prevalence of obesity is greater among the higher/lower socioeconomic group, and there is an inverse relationship between obesity and level of _____. A BMI greater than ___ is defined as morbidly obese by the National Institutes of Health.

Back 97

Obesity has been defined as a body mass index of 30 or greater.
The percentage of obese individuals is higher among blacks compared to whites. The prevalence of obesity is greater among the lower socioeconomic group, and there is an inverse relationship between obesity and level of education. A BMI greater than 40 is defined as morbidly obese by the National Institutes of Health.

Front 98

a subjective concept of one's physical appearance based on personal perceptions of self and the reactions of others

Back 98

Body Image

Front 99

Anorexia nervosa is characterized by a morbid fear of ____. Symptoms include gross distortion of ___ ___, preoccupation with ____, and refusal to __. Research indicates that anorexics do suffer from pangs of hunger, and it only with food intake of less than ___ calories per day that hunger sensations actually cease. The distortion of body image is manifested by the individual's perception of being ___ when he or she is obviously under_____ or even _____. Weight loss is usually accomplished by reduction in food intake and often extensive exercising. Self-induced ____ and the abuse of _____s or ______s may also occur.

Back 99

Anorexia nervosa is characterized by a morbid fear of obesity. Symptoms include gross distortion of body image, preoccupation with food, and refusal to eat. Research indicates that anorexics do suffer from pangs of hunger, and it only with food intake of less than 200 calories per day that hunger sensations actually cease. The distortion of body image is manifested by the individual's perception of being fat when he or she is obviously underweight or even emaciated. Weight loss is usually accomplished by reduction in food intake and often extensive exercising. Self-induced vomiting and the abuse of laxatives or diuretics may also occur.

Front 100

In anorexia nervosa, weight loss is marked. Other symptoms may include hypo____, hypo_____, brady____, e___, l_____, and a variety of metabolic changes. ________(absence of menses) usually follows weight loss, but in some instances may precede it. Individuals with anorexia may be obsessed with food. They may hoard or conceal food, talk about food and recipes, or prepare elaborate meals for others, only to restrict themselves to a limited amount of low-calorie food intake. ______ behaviors, such as excessive hand washing, may also be present.

Back 100

In anorexia nervosa, weight loss is marked. Other symptoms may include hypothermia, hypotension, bradycardia, edema, and lanugo, and a variety of metabolic changes. Amenorrhea (absence of menses) usually follows weight loss, but in some instances may precede it. Individuals with anorexia may be obsessed with food. They may hoard or conceal food, talk about food and recipes, or prepare elaborate meals for others, only to restrict themselves to a limited amount of low-calorie food intake. Compulsive behaviors, such as excessive hand washing, may also be present.

Front 101

In anorexics, ________ development is generally delayed. Feelings of _____ and _____ often accompany the disorder. Some studies suggest a possible interrelationship between eating disorders and _____ disorders.

Back 101

In anorexics, psychosexual development is generally delayed. Feelings of depression and anxiety often accompany the disorder. Some studies suggest a possible interrelationship between eating disorders and affective disorders.

Front 102

The diagnostic criteria for anorexia nervosa as outlined by the DSM-IV-TR defines anorexia as:
A. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g. weight loss leading to maintenance of body weight <__% of that expected; or failure to make expected weight gain during period of _____, leading to body weight less than __% of that expected.
B. Intense ___ of ___ing ____ or becoming ___ even though ____.
C. _____ in the way in which one's body weight or shape is experienced, undue _____ of body weight or shape on self-______, or ____ of the ____ness of the current low body weigh.
D. In postmenarcheal females, ______

The type is specified as either...

Back 102

A. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g. weight loss leading to maintenance of body weight <85% of that expected; or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected.
B. Intense fear of gaining weight or becoming fat, even though underweight
C. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
D. In postmenarcheal females, amenorrhea.
The type is specified as either:
Restricting Type: During the current episode of anorexia nervosa, the person has NOT regularly engaged in binge-eating or purging behavior (i.e. self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
Binge-Eating/Purging Type: During the current episode of anorexia nervosa, the person has regularly engaged in binge-eating or purging behavior (i.e. self-induced vomiting or the misuse of laxative, diuretics, or enemas)

Front 103

Bulimia nervosa is an e______, un_____, c_______, slow/rapid ingestion of large quantities of food over a short/long period of time, known as _____ing, followed by inappropriate _______ behaviors such as purging behaviors (self-induced vomiting, or the misuse of laxatives, diuretics or enemas), ______ or excessive _____ to rid the body of excess calories.

Back 103

Bulimia nervosa is an episodic uncontrolled, compulsive, rapid ingestion of large quantities of food over a short period of time, known as binging, followed by inappropriate compensatory behaviors (self-induced vomiting, or the misuse of laxatives, diuretics or enemas), fasting or excessive to rid the body of excess calories.

Front 104

With bulimia, there is a persistent overconcern with personal ______, particularly regarding how they believe others perceive them. Weight _______ are common because of the alternating binges and fasts. Most individuals with bulimia are within a normal weight range-- some slightly underweight, some slightly overweight. What are some complications of excessive vomiting, laxative, and/or diuretic abuse?

Back 104

With bulimia, there is a persistent overconcern with personal appearance, particularly regarding how they believe others perceive them. Weight fluctuations are common because of the alternating binges and fasts. Most individuals with bulimia are within a normal weight range-- some slightly underweight, some slightly overweight.

Complications:
dehydration electrolyte imbalance
gastric acid in vomit leads to erosion of tooth enamel
tears in gastric or esophageal mucosa (rare)

Front 105

Some people with bulimia are subject to mood disorders, anxiety disorders, substance abuse or dependence- especially a________ or a_______.

Back 105

amphetamines, alcohol

Front 106

The diagnostic criteria for bulimia nervosa:
A. Recurrent episodes of___ ____. An episode is characterized by both of the following:
1. Eating, in a discrete period of time (within a __ hour period) an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
2. A sense of lack of ___ over eating during the episode ( a feeling that one can't stop or control what or how much one is eating)
B.Re_____ in______ c_______ behavior in order to prevent weight gain, such as self-induced vomiting, misuse of laxative, diuretics, enemas, or other medications' fasting; or excessive exercise)
C. The binge eating and inappropriate compensatory behaviors BOTH occur, on average, at least how often?
D. Self- evaluation is unduly influenced by body shape and weight
E. The disturbance does not occur exclusively during episodes of anorexia nervosa
Describe the 2 types.

Back 106

The diagnostic criteria for bulimia nervosa:
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
1. Eating, in a discrete period of time (within a 2 hour period) an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
2. A sense of lack of control over eating during the episode ( a feeling that one can't stop or control what or how much one is eating)
B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting, misuse of laxative, diuretics, enemas, or other medications' fasting; or excessive exercise)
C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months
D. Self- evaluation is unduly influenced by body shape and weight
E. The disturbance does not occur exclusively during episodes of anorexia nervosa
Specify Type:
Purging Type: During the current episode of bulimia nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
Nonpurging Type:
During the current episode of bulimia nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.

Front 107

What are some biological influences related to the etiology of anorexia and bulimia?

Back 107

Genetics
Neuroendocrine abnormalities-
(Some speculation has occurred regarding a primary hypothalmic dysfunction in anorexia. Studies have revealed elevated CSF cortisol levels and a possible impairment of dopaminergic regulation in individuals with anorexia. Additional evidence in the hypothalmic influence is gathered from the fact that many people with anorexia experience amenorrhea before the onset of starvation and significant weight loss.)
Neurochemical influences (Bulimia may be associated with the neurotransmitters serotonin and norepinephrine. This hypothesis has been supported by the positive response these individuals show with SSRIs. Some studeies have found high levels of endogenous opioids in the spinal fluid of clients with anorexia, promoting the speculation that these chemicals may contribute to denial of hunger. Some of these individuals have shown to gain weight when given naloxone (Narcan), an opioid antagonist.)

Front 108

There are psychodynamic influences involved with the etiology of anorexia and bulimia. Psychodynamic theories suggest that eating disorders result from very early and profound disturbances in ____-____ interactions. The result is retarded ___ development in the child and an unfulfilled sense of _______-_______. This problem is compounded when the mother responds to the child's physical and emotional needs with ___. Manifestations include a disturbance in body ____ and a distortion in body i___. When events occur that threaten the vulnerable ego, feelings of lack of ____ over one's body (self) emerge. Behaviors associated with food and eating serve to provide feelings of ____ over one's life.

Back 108

There are psychodynamic influences involved with the etiology of anorexia and bulimia. Psychodynamic theories suggest that eating disorders result from very early and profound disturbances in mother-infant interactions. The result is retarded ego development in the child and an unfulfilled sense of separation-individuation. This problem is compounded when the mother responds to the child's physical and emotional needs with food. Manifestations include a disturbance in body identity and a distortion in body image. When events occur that threaten the vulnerable ego, feelings of lack of control over one's body (self) emerge. Behaviors associated with food and eating serve to provide feelings of control over one's life.

Front 109

Family influences linked to the development of bulimia and anorexia include C____ A_____ and Elements of P____ and C____. In the theory of the family as a system, psychosomatic symptoms, including anorexia nervosa, are reinforced in an effort to avoid _____ conflict. Parents are able to ___ marital conflict by defining the sick ___ as the family problem. In these families, there is an unhealthy involvement between the members (enmeshment); the members strive at all costs to maintain "______"; and the parents endeavor to retain the child in the independent/ dependent position. Conflict avoidance may be a strong factor in the interpersonal dynamics of some families in which children develop eating disorders.
The issue of control may become the overriding factor in the family of the client with an eating disorder. These families often consist of a _____ father, a _____ mother, and an overly _____ child. A high value is placed on _________ in this family, an the child feels he or she must satisfy these standards. Parental criticism promotes an increase in o________ and perfectionistic behavior on the part of the child, who continues to seek love, approval, and recognition. The child eventually begins to feel helpless and ambivalent toward the parents. In adolescence, these distorted eating patterns may represent a ______ against the parents, viewed by the child as a means of gaining and remaining in ______. The symptoms are often triggered by a s_____ that the adolescent perceives as a loss of control in some aspect of his or her life.

Back 109

Family influences linked to the development of bulimia and anorexia include Conflict Avoidance and Elements of Power & Control. In the theory of the family as a system, psychosomatic symptoms, including anorexia nervosa, are reinforced in an effort to avoid spousal conflict. Parents are able to deny marital conflict by defining the sick child as the family problem. In these families, there is an unhealthy involvement between the members (enmeshment); the members strive at all costs to maintain "appearances"; and the parents endeavor to retain the child in the dependent position. Conflict avoidance may be a strong factor in the interpersonal dynamics of some families in which children develop eating disorders.
The issue of control may become the overriding factor in the family of the client with an eating disorder. These families often consist of a passive father, a domineering mother, and an overly dependent child. A high value is placed on perfectionism in this family, an the child feels he or she must satisfy these standards. Parental criticism promotes an increase in obsessive and perfectionistic behavior on the part of the child, who continues to seek love, approval, and recognition. The child eventually begins to feel helpless and ambivalent toward the parents. In adolescence, these distorted eating patterns may represent a rebellion against the parents, viewed by the child as a means of gaining and remaining in control. The symptoms are often triggered by a stressor that the adolescent perceives as a loss of control in some aspect of his or her life.

Front 110

Obesity is not classified as a psychiatric disorder in the DSM-IV-TR, but because of the strong emotional factors associated with the condition, it may be considered under "Psychological Factors Affecting Medical Condition." Obesity is a factor in BED- ____-____ ______ because the individual binges on large amounts of food but does not engage in behaviors to rid the body of the excess calories.

Back 110

Obesity is not classified as a psychiatric disorder in the DSM-IV-TR, but because of the strong emotional factors associated with the condition, it may be considered under "Psychological Factors Affecting Medical Condition." Obesity is a factor in BED- Binge-Eating Disorder because the individual binges on large amounts of food but does not engage in behaviors to rid the body of the excess calories.

Front 111

How is BMI calculated? What is the BMI range for normal weight? For overweight?

Back 111

BMI = Weight (kg) / Height (m)2
Normal: 20- 24.9
Overweight: 25-29.9

Front 112

Individuals who are obese often present with hyperlipidemia, particularly elevated ______ and _____ levels. They commonly have hypergylcemia and are at risk for developing ____ ____. Osteo____ may be evident because of trauma to weight-bearing joints. Workload on the heart and lungs is increased, often leading to symptoms of angina or respiratory insufficiency.

Back 112

Individuals who are obese often present with hyperlipidemia, particularly elevated triglycerides and cholesterol levels. They commonly have hypergylcemia and are at risk for developing diabetes mellitus. Osteoarthritis may be evident because of trauma to weight-bearing joints. Workload on the heart and lungs is increased, often leading to symptoms of angina or respiratory insufficiency.

Front 113

Research criteria for Binge-Eating Disorder includes
A. Recurrent episodes of binge eating (same definition as in bulimia)
B. The binge-eating episodes are associated with ____(or more ) of the following:
Eating more ____ than normal
Eating until feeling uncomfortably ___
Eating large amounts of food when not physically ____
Eating ____ because of being embarrassed by how much one is eating
Feeling disgusted with oneself, depressed, or very guilty after overeating
C. Marked _____ regarding binge eating is present.
D. The binge eating occurs, on average, at least _ days a week for _ months
E. The binge eating is not associated with compensatory behaviors and does not occur exclusively during the course of anorexia or bulimia.

(Note: the method of determining frequency differs from that used for bulimia, future research should address whether the preferred method of setting a frequency threshold is counting the number of days on which binges occur or counting the number of episodes of binge eating.)

Back 113

Research criteria for Binge-Eating Disorder includes
A. Recurrent episodes of binge eating (same definition as in bulimia)
B. The binge-eating episodes are associated with three (or more ) of the following:
Eating more rapidly than normal
Eating until feeling uncomfortably full
Eating large amounts of food when not physically hungry
Eating alone because of being embarrassed by how much one is eating
Feeling disgusted with oneself, depressed, or very guilty after overeating
C. Marked distress regarding binge eating is present.
D. The binge eating occurs, on average, at least 2 days a week for 6 months
E. The binge eating is not associated with compensatory behaviors and does not occur exclusively during the course of anorexia or bulimia.

(Note: the method of determining frequency differs from that used for bulimia, future research should address whether the preferred method of setting a frequency threshold is counting the number of days on which binges occur or counting the number of episodes of binge eating.)

Front 114

What defines an Eating Disorder NOS?

Back 114

Disorders of eating that do not meet the diagnostic criteria for bulimia or anorexia.

Anorexia criteria, but normal wt; menses
Bulimia criteria, but less frequent episodes
Binge eating disorder without inappropriate compensatory mechanisms

Front 115

What are the physical clinical manifestations of anorexia?

Back 115

Cachexia: malnourished, dehydrated state
Lanugo
Electrolyte imbalance, especially hypokalemia
Dysrhythmias; ECG changes
Prominent parotid glands (in purge type)

Front 116

The psychological clinical manifestations of anorexia include fear of gaining wt; preoccupation with food; refusal to eat; the person may ___ with their food. The person has a self-view as fat even when emaciated. The person has disturbed _____: individual judges self ____ by his/her wt; low self-esteem.
Decreases food intake to gain sense of control
In the extreme: _____ thoughts or behaviors; psychosis, street drugs, etc.

Back 116

The psychological clinical manifestations of anorexia include fear of gaining wt; preoccupation with food; refusal to eat; the person may play with their food. The person has a self-view as fat even when emaciated. The person has disturbed cognition: individual judges self worth by his/her wt; low self-esteem.
Decreases food intake to gain sense of control
In the extreme: suicidal thoughts or behaviors; psychosis, street drugs, etc.

Front 117

What are some complications of anorexia?

Back 117

Life-threatening dysrhythmias d/t electrolyte (potassium) depletion
Cardiac collapse, arrest, failure
Orthostatic drops in BP, pulse; ↓resting BP
Acid-base abnormalities
Abnormal labs (lytes; leukopenia; thyroid)
Osteoporosis; liver degeneration
proteinuria
hematuria

Front 118

The physical clinical manifestations of bulimia include: Enlargement of ____ glands, dental ____, caries or cavities, electrolyte disturbances especially ______, fluid balance problems due to ______, andcardiac ______ or dysfunction. The patient is often at or below normal body weight.

Back 118

The physical clinical manifestations of bulimia include: Enlargement of poratid (salivary) glands, dental erosion, caries or cavities, electrolyte disturbances especially hypokalemia, fluid balance problems due to dehydration, and cardiac dysrhythmias or dysfunction. The patient is often at or below normal body weight.

Front 119

True or false: Bulimics have a history of anorexia nervosa in 1/4 to 1/3 of pts

Back 119

true

Front 120

Some psychological clinical manifestations of bulimia include d_____ and ____ thoughts or behaviors,
history of chaotic ____ or interpersonal relationships,
i_____ and c_____ ↑___ levels, may be a history of compulsive _____, and a
possible ______ dependency.

Back 120

Some psychological clinical manifestations of bulimia include depression and suicidal thoughts or behaviors,
history of chaotic family or interpersonal relationships,
Impulsivity & compulsivity; ↑ anxiety levels, may be a history of compulsive stealing, and a
possible chemical dependency.

Front 121

Some complications of bulimia include: cardio_____ from ____ intoxication, cardiac _______, cardiac ____, electrolyte deficit, fluid imbalance, ortho___ changes, dental problems,
esophageal tears and gastric rupture, and _____ sign.

Back 121

Some complications of bulimia include: Cardiomyopathy from ipecac intoxication, cardiac dysrhythmias, cardiac arrest, electrolyte deficit, fluid imbalance, orthostatic changes, dental problems,
esophageal tears and gastric rupture, and Russel's sign.

Front 122

Assessment of eating disorders includes a determination of medical/psychiatric condition and whether it warrants _______, Assess for s/s of eating disorders, a cardiac assessment; telemetry monitoring, weight, labs, comorbid disorders, A comprehensive psychiatric assessment involving the Pts perception, eating habits, social hx, and family support.

Back 122

Assessment of eating disorders includes a determination of medical/psychiatric condition and whether it warrants hospitalization, Assess for s/s of eating disorders, a cardiac assessment; telemetry monitoring, weight, labs, comorbid disorders, A comprehensive psychiatric assessment involving the Pts perception, eating habits, social hx, and family support.

Front 123

True or False: Depression and suicide are uncommon concerns for patients with eating disorders.

Back 123

false, very common and important complications to consider

Front 124

What is refeeding syndrome? How is it prevented?

Back 124

Refeeding syndrome is a syndrome consisting of metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished

Close monitoring of labs, often milk is first food introduced because it is high in phosphates, and a major manifesation of refeeding syndrome is hypophosphatemia.

Front 125

In planning treatment for people with eating disorders, first address life-threatening medical ______ (cardiac, electrolyte, etc), Inpatient treatment focuses on acute complications, limited ____ restoration, treating significant depression, prevent _____ syndrome. In bulimia, interrupt binge-purging cycle. After pt is stable, address underlying issues.

Back 125

In planning treatment for people with eating disorders, first address life-threatening medical emergencies (cardiac, electrolyte, etc), Inpatient treatment focuses on acute complications, limited weight restoration, treating significant depression, prevent refeeding syndrome. In bulimia, interrupt binge-purging cycle. After pt is stable, address underlying issues.

Front 126

In the implementation of treatment for eating disorders, monitor physiologic parameters, weigh patient per protocol, assess for suicidal or self-______ behaviors, Pharmacological Rx: ___ and _____s, Cognitive ______ therapy, Psychotherapy, group therapy, family therapy, and patient teaching.

Back 126

In the implementation of treatment for eating disorders, monitor physiologic parameters, weigh patient per protocol, assess for suicidal or self-mutilating behaviors, Pharmacological Rx: SSRIs; anxiolytics, Cognitive behavioral therapy, Psychotherapy, group therapy, family therapy, and patient teaching.

Front 127

A goal for the treatment of those who are severely underweight is to bring them to ___ % of ideal body weight. Which eating disorder has the most unfavorable outcome?

Back 127

90%
anorexia nervosa

Front 128

True or False: There are no medications specifically indicated for eating disorders.

Back 128

true

Front 129

Review Nursing Diagnoses and Care Plans for eating disorders

Back 129

p. 547-57