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Complete Test Bank Krause’s Food and the Nutrition Care Process 14th Edition Mahan Questions & Answers with rationales feedback(Chapter 1-44)$30.49
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Eating Beliefs and BN - food aversions
safe foods
magical thinking
binge trigger foods (reserved for times they want to binge)
strict ideas about portion size
refuse foods without lables
Eating behaviors and BN - rituals
specific food combinations
unusual condiment useage
unusual use of utensils
extreme use of artificial sweeteners
Shopping behaviors and BN - spend an enormous amount of time picking out a few
foods.
Assessments of eating behaviors of BN - often eat alone
count meals and snacks
time specific
may eat sitting or standing or while exercising
AN Medical Nutrition Therapy weight gain - 2-3 lbs per week supervised
, AN Supervised weight gain goals - Restoration
Stabilization
Prevention of weight loss
Low and slow increased energy intake for AN - 30-40 kcal/kg/day (1000-1600) inpatient
Refeeding Syndrome
1. What is it?
2. What causes it?
3. What nutrients need to be monitored? - 1. Fluid and electrolyte imbalance
2. With aggressive carbohydrate feeding in those that are severely malnourished,
insulin pushes fuel into cells, leads to low serum levels
3. Monitor mg, p, k serum levels
Macronutrients and MNT for AN - Protein - 15-20% kcal
Carbohydrate - 50-55% kcal (refeeding syndrome = 40% kcal), insoluble fiber is
important
Fat - 30% kcal
Supplementation and AN - 100% RDA vitamin and mineral supplementation to recover
from catabolic state back to anabolic.
maybe need thiamin
avoid Iron
MNT and BN - Interrupt binge and purge cycle
probably don't need increased calories
relearn hunger and satiety cues
Anorexia Nervosa (AN) - an eating disorder characterized by an inability to maintain
normal weight, an intense fear of gaining weight, and distorted body perception
Restrictive subtype of AN - Excessive dieting, fasting and exercise, must have this
behavior in the last three months to be diagnosed
Binge eating/purging subtype of AN - binge eating or purging or both. Must have this
behavior in the last three months for diagnosis.
Prevalence of Anorexia Nervosa - 1% in women, 0.5% in men
AN has the highest fatality rate of any mental illness, % - 4-5% individuals die from
complications of AN
Adolescence - AN usually presents itself in adolescence
Temperament of those with AN - obsessional, anxiety disorders, good child
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