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Questions and Answers
At what ages does anorexia nervosa typically begin?
At what ages does anorexia nervosa typically begin?
What do clients with anorexia often deny in the early stages of the illness?
What do clients with anorexia often deny in the early stages of the illness?
What percentage of clients with anorexia achieve full recovery?
What percentage of clients with anorexia achieve full recovery?
What is common as the illness progresses in clients with anorexia?
What is common as the illness progresses in clients with anorexia?
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What can social isolation lead to in clients with anorexia?
What can social isolation lead to in clients with anorexia?
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What proportion of clients with anorexia are more likely to die from medical complications or suicide compared to the general population?
What proportion of clients with anorexia are more likely to die from medical complications or suicide compared to the general population?
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What is the recovery rate for clients with anorexia?
What is the recovery rate for clients with anorexia?
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What is the risk for medical complications associated with clients who abuse laxatives?
What is the risk for medical complications associated with clients who abuse laxatives?
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What is the likelihood of clients with the lowest body weights and longest durations of illness to relapse?
What is the likelihood of clients with the lowest body weights and longest durations of illness to relapse?
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What is the outcome for clients with the lowest body weights and longest durations of illness?
What is the outcome for clients with the lowest body weights and longest durations of illness?
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What is common in clients as dieting and compulsive behaviors increase?
What is common in clients as dieting and compulsive behaviors increase?
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What do clients with anorexia often express pleasure about in the early stages of the illness?
What do clients with anorexia often express pleasure about in the early stages of the illness?
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Which electrolyte abnormality is particularly associated with purging in eating disorders?
Which electrolyte abnormality is particularly associated with purging in eating disorders?
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What is a major life-threatening complication that may indicate the need for hospital admission in clients with anorexia nervosa?
What is a major life-threatening complication that may indicate the need for hospital admission in clients with anorexia nervosa?
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What is a common musculoskeletal complication related to weight loss in eating disorders?
What is a common musculoskeletal complication related to weight loss in eating disorders?
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Which body system is affected by symptoms such as delayed gastric emptying, bloating, constipation, and abdominal pain in eating disorders?
Which body system is affected by symptoms such as delayed gastric emptying, bloating, constipation, and abdominal pain in eating disorders?
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What is a common reproductive complication associated with eating disorders?
What is a common reproductive complication associated with eating disorders?
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What is a potential dermatologic complication of eating disorders?
What is a potential dermatologic complication of eating disorders?
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Which medical management focus is important in the treatment of clients with anorexia nervosa?
Which medical management focus is important in the treatment of clients with anorexia nervosa?
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What type of therapy may be beneficial for families of clients younger than 18 years with anorexia nervosa?
What type of therapy may be beneficial for families of clients younger than 18 years with anorexia nervosa?
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Which type of therapy focuses on the client's particular issues and circumstances, such as coping skills and self-esteem?
Which type of therapy focuses on the client's particular issues and circumstances, such as coping skills and self-esteem?
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What is a potential dental complication associated with eating disorders?
What is a potential dental complication associated with eating disorders?
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What is a potential neuropsychiatric complication of eating disorders?
What is a potential neuropsychiatric complication of eating disorders?
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What is a common metabolic complication related to weight loss in eating disorders?
What is a common metabolic complication related to weight loss in eating disorders?
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Which of the following is a potential cardiac complication of eating disorders?
Which of the following is a potential cardiac complication of eating disorders?
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What is a common reproductive complication associated with eating disorders?
What is a common reproductive complication associated with eating disorders?
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What is a potential neuropsychiatric symptom related to eating disorders?
What is a potential neuropsychiatric symptom related to eating disorders?
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What is a common dermatological complication of eating disorders?
What is a common dermatological complication of eating disorders?
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Which electrolyte abnormality is particularly associated with purging in eating disorders?
Which electrolyte abnormality is particularly associated with purging in eating disorders?
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What is a potential gastrointestinal complication of eating disorders?
What is a potential gastrointestinal complication of eating disorders?
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What is a major life-threatening complication that may indicate the need for hospital admission in clients with anorexia nervosa?
What is a major life-threatening complication that may indicate the need for hospital admission in clients with anorexia nervosa?
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What is a potential dental complication associated with eating disorders?
What is a potential dental complication associated with eating disorders?
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What is a common metabolic issue associated with eating disorders?
What is a common metabolic issue associated with eating disorders?
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What is a focus of medical management in the treatment of clients with anorexia nervosa?
What is a focus of medical management in the treatment of clients with anorexia nervosa?
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What type of therapy can be effective in preventing relapse and improving overall outcomes for patients with anorexia nervosa?
What type of therapy can be effective in preventing relapse and improving overall outcomes for patients with anorexia nervosa?
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What is a potential hematologic complication associated with eating disorders?
What is a potential hematologic complication associated with eating disorders?
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Study Notes
Medical Complications and Treatment of Eating Disorders
- Medical complications of eating disorders include musculoskeletal issues such as loss of muscle mass, osteoporosis, and pathologic fractures, as well as metabolic issues like hypothyroidism, hypoglycemia, and decreased insulin sensitivity.
- Eating disorders can also lead to cardiac complications such as bradycardia, hypotension, cardiac arrhythmias, and sudden death.
- Gastrointestinal complications may include delayed gastric emptying, constipation, and abdominal pain, while reproductive complications can manifest as amenorrhea and low hormone levels.
- Dermatological complications like dry, cracking skin and the presence of lanugo (fine body hair) can occur, and hematologic complications may include leukopenia and anemia.
- Neuropsychiatric symptoms related to eating disorders may involve abnormal taste sensation, depression, and sleep disturbances.
- Purging through vomiting and laxative abuse can result in electrolyte abnormalities, salivary gland and pancreas inflammation, and dental erosion.
- Treatment for anorexia nervosa can be challenging as patients often resist and deny their problems, with different settings and approaches required based on the severity of the illness and comorbid conditions.
- Major life-threatening complications necessitating hospital admission include severe fluid and electrolyte imbalances, cardiovascular complications, severe weight loss, and suicide risk.
- Medical management focuses on weight restoration, nutritional rehabilitation, rehydration, and correction of electrolyte imbalances, with severely malnourished patients potentially requiring total parenteral nutrition or tube feedings.
- Psychotherapy, including family therapy and individual therapy, is important in addressing family dynamics, communication, and the individual issues and circumstances of the patient.
- Cognitive-behavioral therapy (CBT) can be effective in preventing relapse and improving overall outcomes for patients with anorexia nervosa.
- Family-based early intervention can help prevent exacerbation of anorexia, but significant improvements in family functioning may take time, particularly in dysfunctional families.
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Description
Test your knowledge about the onset and clinical course of anorexia nervosa in students with this informative quiz. Explore the typical age of onset, early symptoms, and attitudes towards body image and weight control. Gain insights into the initial stages of anorexia nervosa and its impact on adolescent clients.
