Chapter 32 eating disorders

Shared feature of anorexia nervosa and bulimia nervosa :

: Restriction of intake

Most common age of onset for eating disorders

:: Ages 12-14

Next step after patient reaches safe weight :

: Allow patient more control over progress

Appropriate nursing intervention for hospitalized eating disorder patient :

: Obtain daily weight

Key feature of binge-eating disorder vs bulimia

:: No purging after eating

Why patients with bulimia may not be underweight ::

They can maintain normal weight

Focus in males with eating disorders ::

Excessive focus on masculine physique

Core psychological issue in binge-eating disorder ::

Anxiety

Eating disorders have the highest incidence of what? ::

Mortality

Best question to assess trigger of anorexia ::

"What was your home life like before your eating disorder?"

Physical consequences of anorexia (SATA) ::

Hair loss, osteoporosis, dehydration, muscle loss

Key characteristics of anorexia nervosa ::

Low body weight, disturbed self-image

Why monitor bulimia patient after meals ::

Prevent purging behaviors

Best teaching topic for anorexia education ::

Self-esteem and self-control

Typical finding in bulimia nervosa ::

Normal blood pressure and weight

Behavior shown by patient saying "you're the only one who understands me" ::

Manipulation

Best response to fear of weight gain (bulimia) :

: "The staff will help ensure no weight gain because that is important to you."

Cause of feeling cold in anorexia ::

Loss of subcutaneous fat

Key difference binge-eating vs bulimia ::

No purging, fasting, or excessive exercise

Initial goal for bulimia treatment ::

Identify situations that cause anxiety

Priority goal for severely underweight patient ::

Address medical conditions

Intervention for bulimia management ::

Stay with patient 1 hour after eating

Best communication strategy for anorexia ::

Encourage expression of feelings

Statement showing understanding of bulimia ::

"When I am lonely, I start to binge."

Findings suggesting bulimia (SATA) ::

Laxative use, normal weight, diet pills, anemia, tooth decay

Effective discharge statement (anorexia) ::

"I will need to attend therapy to stay healthy."

Intervention to build strengths unrelated to food ::

Dealing with body image

Priority nursing diagnosis in anorexia ::

Imbalanced nutrition: less than body requirements

Complication of vomiting in bulimia ::

Metabolic alkalosis