Wk. 15 - Disordered Eating Flashcards

What are the three core behaviors of Anorexia Nervosa (AN)?

Severe food restriction, intense fear of gaining weight, and persistent behaviors that interfere with weight gain.

What are key physical signs of Anorexia Nervosa?

Significantly low body weight, amenorrhea, cold intolerance, bradycardia, lanugo, and body image distortion.

What distinguishes Bulimia Nervosa (BN) from Anorexia Nervosa in terms of body image and weight?

BN patients typically have normal or overweight body mass and do not experience the body image distortion seen in AN.

Name three compensatory behaviors associated with Bulimia Nervosa.

Self-induced vomiting, laxative misuse, and excessive exercise.

What physical signs might a nurse observe in a patient with Bulimia Nervosa?

Dental erosion, swollen parotid glands, Russell’s sign (calluses on knuckles), and electrolyte imbalances like hypokalemia.

What core feature differentiates Binge Eating Disorder (BED) from Bulimia Nervosa?

BED involves binge eating without any compensatory behaviors to prevent weight gain.

What are common emotional triggers for binge eating episodes in BED?

Stress, negative affect, interpersonal conflicts, and boredom.

What psychological symptoms might accompany BED?

Marked distress, shame, and low self-esteem.

List three biological or psychological risk factors for developing an eating disorder.

Genetics, perfectionistic personality traits, and comorbid mental health conditions.

What environmental or social factors increase the risk of eating disorders?

Early life trauma, social media influence, gender (female), ethnic minority status, and participation in elite sports.

Name two protective factors against the development of eating disorders.

Regular family meals and strong social support systems.

What nursing diagnosis is most appropriate for a patient with Anorexia Nervosa?

Imbalanced Nutrition: Less than body requirements.

What are two priority nursing diagnoses for a patient with Bulimia Nervosa?

Risk for Electrolyte Imbalance and Ineffective Coping.

Which nursing diagnosis is most appropriate for a patient with Binge Eating Disorder?

Imbalanced Nutrition: More than body requirements.

What is a priority nursing intervention when refeeding a patient with AN?

Monitor for refeeding syndrome, including hypophosphatemia and electrolyte imbalances.

What types of psychotherapy are effective for treating Anorexia Nervosa?

Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Integrative Cognitive-Affective Therapy.

What should a nurse monitor in a patient with BN to prevent cardiac complications?

Serum potassium levels (hypokalemia) and ECG changes.

What are two key nursing interventions for patients with BED?

Support psychotherapy and promote healthy, non-punitive weight loss strategies.

How can nurses support body image and self-acceptance in patients with eating disorders?

Encourage body positivity, challenge unrealistic standards, and reinforce personal strengths beyond appearance.

What therapy approaches are recommended for BN and BED?

Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT), along with pharmacologic support if needed