Chapter 23: Eating and Sleeping Disorders

Trends that have contributed to the recent increase in eating disorders in the United States include a(n):

Focus on being thin as a measure of attractiveness

What is the main issue for adolescents with anorexia?

Control

Which disorder is associated with persons with a body weight that is normal or even slightly above average?

Bulimia

The persistent eating of nonfood items such as clay, laundry starch, insects, leaves, or pebbles that lasts for longer than 1 month is called:

Pica

Pica is the persistent eating of nonfood items that persists longer than 1 month and often is associated with a severe vitamin or mineral deficiency

The main focus of medical management for anorexia is to:

Encourage the client to eat voluntarily.

Although all age groups can be affected, sleep disorders occur most frequently in:

Older adulthood

The inability to fall asleep or stay asleep is called:

Insomnia

A disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds during the beginning of sleep is called:

Nocturnal myoclonus

Sleep disorders that are characterized by abnormal behavioral or physical events during sleep are called:

Parasomias

Sleep terrors usually occur only once a night, during stages 3 and 4 of NREM sleep. They are often accompanied by which physical sign?

Intense stress

The first step in the treatment of sleep disorders is to:

Teach prevention.

The collection of perceptions, thoughts, feelings, and behaviors that relate to ones size and appearance is called:

Body Image

The average age for onset of anorexia nervosa is _____ years old.

17

The nurse who is caring for a 23-year-old client with bulimia knows that the most common method of purging to monitor this client for is:

Vomiting

The nurse who works in a sleep clinic knows that approximately _____% of adults suffer from insomnia.

30-40%

During an episode of binge eating, what type of food is usually taken in large amounts?

Cakes, donuts, or sweets

A client with a diagnosis of anorexia is admitted to an inpatient setting. Which therapeutic intervention is used with caution prior to stabilization and weight gain?

Administering antidepressants

Which of the following persons is most likely a candidate for primary hypersomnia?

An 18-year-old college student whose mother complains he sleeps all night and still naps during the day

A police officer complains of feeling tired and not able to sleep for an extended period of time after being assigned to work the night shift. He is most likely suffering from:

Circadian rhythm sleep disorder

Which of the following conditions are eating disorders? (Select all that apply.)

Pica, Purging, Binge Eating

Which are key features of anorexia nervosa? (Select all that apply.)

*Severe weight loss

*Introverted personality

*Hunger is denied

What are the criteria for the diagnosis of bulimia? (Select all that apply.)

*Excessive emphasis placed on body shape and weight

*Eating binges at least twice per week for at least 3 months

The death rate from anorexia is higher than any other mental illness. Death usually results from: (Select all that apply.)

*Dehydration

*Loss of critical muscle mass

*Electrolyte imbalances

*Suicide

The medical term for a sleep test is a __________.

Polysomnogram

This test involves measurements of brain wave activity, muscle movement, and eye movement during sleep.