Eating Disorders and Regulation Responses
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Questions and Answers

What is the name of the disorder characterized by above normal levels of cortisol, a stress hormone?

  • Bulimia Nervosa
  • Anorexia Nervosa
  • Binge Eating Disorder
  • Diet-binge-purge Disorder (correct)
  • What is a common psychological factor associated with diet-binge-purge disorder?

  • Sense of powerlessness (correct)
  • Perfectionism
  • Optimism
  • High self-esteem
  • What is the mortality rate of binge eating disorder?

  • 10-15%
  • 20-25%
  • 15-20% (correct)
  • 25-30%
  • What is a common trigger for binge eating in individuals with diet-binge-purge disorder?

    <p>Emotional events</p> Signup and view all the answers

    What is a physical symptom associated with purging behavior?

    <p>Hypokalemia</p> Signup and view all the answers

    What is the age range of individuals commonly affected by binge eating disorder?

    <p>12-18 years old</p> Signup and view all the answers

    What is a compensatory behavior associated with purging?

    <p>Excessive exercise</p> Signup and view all the answers

    What is a characteristic of an individual with an adaptive response to eating regulation?

    <p>Accurate body image</p> Signup and view all the answers

    What is a common oral health issue associated with purging behavior?

    <p>Dental erosion</p> Signup and view all the answers

    According to the psychoanalytic theory, what is a potential factor in the development of eating disorders?

    <p>Disturbed mother-infant relationship</p> Signup and view all the answers

    What is a common comorbidity with eating disorders?

    <p>All of the above</p> Signup and view all the answers

    What is a characteristic of anorexia nervosa?

    <p>Less than 25% normal weight for age and height</p> Signup and view all the answers

    What is the term used to describe the fear of gaining weight in individuals with anorexia nervosa?

    <p>Relentless pursuit of thinness</p> Signup and view all the answers

    What is the primary goal of an individual with anorexia nervosa?

    <p>To achieve a sense of control through self-starvation</p> Signup and view all the answers

    What is a potential consequence of anorexia nervosa?

    <p>Life-threatening complications</p> Signup and view all the answers

    What is the term used to describe the distorted body image in individuals with anorexia nervosa?

    <p>Distorted body image with a relentless pursuit of thinness</p> Signup and view all the answers

    What is Anorexia Athletica characterized by?

    <p>Compulsive exercising beyond the requirement of good health</p> Signup and view all the answers

    What is a common reason for individuals with Anorexia Athletica to engage in excessive exercise?

    <p>To achieve a sense of self-worth and satisfaction</p> Signup and view all the answers

    What is a characteristic of individuals with Anorexia Athletica?

    <p>They have a disturbed body image</p> Signup and view all the answers

    What is Chewing and Spitting?

    <p>A behavior where an individual puts food in their mouth, tastes, chews, and then spits it out</p> Signup and view all the answers

    What is a consequence of Imbalanced Nutrition in individuals with Anorexia Athletica?

    <p>Sleep apnea and difficulty with mobility</p> Signup and view all the answers

    What is a characteristic of individuals with Muscle Dysmorphia (Bigorexia)?

    <p>They are excessively worried about being too small and underdeveloped</p> Signup and view all the answers

    What is a nursing intervention for individuals with Anorexia Athletica?

    <p>Reinforcing a treatment plan that establishes realistic weight gain</p> Signup and view all the answers

    Why is it important for individuals with Anorexia Athletica to work with a dietician?

    <p>To develop a realistic meal plan that meets their nutritional needs</p> Signup and view all the answers

    What is the main idea behind the Biologic Theory in relation to eating disorders?

    <p>It is inconclusive whether physiochemical changes precede, accompany, or follow behavioral problems.</p> Signup and view all the answers

    What is a key factor in the Sociocultural Theory of eating disorders?

    <p>Societal pressure for thinness</p> Signup and view all the answers

    According to the Family Theory, what role do symptoms of eating disorders play in the family dynamic?

    <p>They allow the family to avoid dealing with spousal conflict</p> Signup and view all the answers

    What is a potential physical symptom of anorexia nervosa?

    <p>All of the above</p> Signup and view all the answers

    What is a characteristic of individuals with anorexia nervosa?

    <p>Lack of sense of competence in areas besides weight control</p> Signup and view all the answers

    What is a characteristic of families with a member who has an eating disorder?

    <p>Enmeshment and lack of clear-cut boundaries</p> Signup and view all the answers

    What is a potential genetic factor in the development of anorexia nervosa?

    <p>Identical twins have a higher risk than fraternal twins</p> Signup and view all the answers

    What is a characteristic of bulimia nervosa?

    <p>Episodes of binge eating followed by purging</p> Signup and view all the answers

    What is Orthorexia Nervosa characterized by?

    <p>A pathological fixation on eating 'proper', 'pure', or 'superior' foods</p> Signup and view all the answers

    What is Rumination Syndrome characterized by?

    <p>Unforced regurgitation of food, where the person eats, swallows, and then regurgitates the food back into the mouth and re-swallows it</p> Signup and view all the answers

    What is a symptom of Rumination Syndrome?

    <p>Abdominal discomfort</p> Signup and view all the answers

    What is a nursing diagnosis for a client with Orthorexia Nervosa?

    <p>Anxiety R/T fear of weight gain as evidenced by rituals associated with food preparation and eating</p> Signup and view all the answers

    What is a goal of treatment for a client with Orthorexia Nervosa?

    <p>To decrease emphasis on foods and eating</p> Signup and view all the answers

    Why is it important to weigh clients daily upon rising and after the first void?

    <p>To track client progress and response to treatment</p> Signup and view all the answers

    What is a role of the nurse when working with a client with Orthorexia Nervosa?

    <p>To remain with the client during the meal and for the first hour after the meal</p> Signup and view all the answers

    Why is it important to promote client feelings of control and independence in treatment?

    <p>To encourage client participation in treatment and independent decision-making</p> Signup and view all the answers

    Study Notes

    Eating Regulation Responses and Eating Disorders

    Characteristics of Eating Disorders

    • Characterized by severe disturbances in eating behavior
    • Intense preoccupation with weight and dieting
    • Inaccurate body image
    • Self-esteem dependent on thinness
    • May be accompanied by other psychopathology (e.g., mood disorders, personality disorder, substance abuse)

    Types of Eating Disorders

    Anorexia Nervosa

    • Potentially life-threatening disorder
    • Characterized by refusal to maintain minimally normal body weight
    • Distorted body image with "relentless pursuit of thinness"
    • Physical symptoms:
      • Less than 25% normal weight for age and height
      • Absence of menses exceeding 3 months
      • Lanugo growth, hypothyroid-like state
      • Bradycardia, decreased BP
      • Hypokalemia
      • Hypocalcemia, osteoporosis

    Bulimia Nervosa

    • Repeated episodes of binge eating followed by purging behaviors
    • Common among adolescent women and young adults (17-23 years old)
    • Physical symptoms:
      • Fluid volume deficit
      • Hoarseness and esophagitis
      • Dental erosion from vomiting
      • Enlarged parotid glands
      • Hypokalemia
      • Cardiac arrhythmia

    Other Eating Disorders

    Anorexia Athletica

    • Compulsive exercising beyond requirement for good health
    • Self-worth dependent on athletic achievement
    • Disturbed body image and fear of gaining weight

    Chewing and Spitting

    • Putting food in the mouth, tasting, chewing, and spitting it out
    • Calories control behavior to avoid swallowing
    • Imbalanced nutrition and risk for injury due to excessive exercise

    Muscle Dysmorphic Disorder (Bigorexia)

    • Excessive worry about being too small, underdeveloped, and frail
    • Even if having a good muscle mass

    Orthorexia Nervosa

    • Pathological fixation on eating "proper", "pure", or "superior" foods

    Rumination Syndrome

    • Bizarre eating pattern: eat, swallow, and regurgitate food back into the mouth
    • Symptoms:
      • Unforced regurgitation (no retching)
      • Abdominal discomfort
      • Weight loss
      • Belching prior to vomiting
      • Chronic bad breath
      • Chapped lips

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    Description

    This quiz covers the concepts of eating disorders, including severe disturbances in eating behavior, intense preoccupation with weight and dieting, and morbid fear of becoming fat. It also explores how eating disorders can become a form of rebellion and a means of gaining control.

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