NURS 256 CONCEPTS OF
MENTAL HEALTH NURSING
PSYCH EXAM 4 (Need to
Know) STUDY GUIDE
GALEN COLLEGE OF
NURSING.
, Exam 4 Need
to know
• Eating
Disorders
- I strive for perfection, and I like to Excel. My parents think I am too
skinny and don’t
eat enough. I get anxious because I don’t want to gain weight –
Anorexia Nervosa
- I like to have a stash of snacks especially when I get upset,
stressed or emotional. MY doctor is concerned with my weight,
but it is just how I cope – Binge Eating
- The doctor wrote an order for this medication for my patient,
but the dose seems high. Should I call the doctor to ask him if
this is an error? What drug am I? – Fluoxetine (No as the nurse
you should know that this Med is usually given at high dose at
first)
- It really doesn’t matter what I eat since I can easily get rid of it. I
usually just vomit, take laxatives or diuretics and I feel fine. Not
sure why my teeth look so bad? – Bulimia Nervosa
- My patient was just admitted for anorexia nervosa crisis and now
the doctor ordered these tests to make sure their heart is okay – A
complete ECG and labs to check potassium and electrolytes.
- The focus is in the eating disorder and meal planning, use of
relaxation techniques, maintenance of a healthy diet, proper
exercise, coping skills, the physical and emotional effects of
binging & purging along with the cognitive distortions – Health
teaching and Health promotion
- Avoiding or restricting foods, significantly low BMI, no distortion
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