Eating Disorders
Psychopharmacological interventions have been proven to be somewhat effective in treating anorexia nervosa. The atypical antipsychotic that is helpful in improving mood and decreasing obsessions and aids in weight gain is?
(Zyprexa)
The BMI range for normal weight is?
20 to 24.9
Children between this age ranges are the most abused?
3-6 years
Obesity has been defined as a body mass index of ?
30 or greater
The maximum dosage of aripiprazole (Abilify) given to treat irritability in autism spectrum disorder is
5mg/day
This disorder is characterized by the presence of multiple motor tics and one or more vocal tics?
Tourette's syndrome
Individuals with anorexia nervosa can literally starve themselves to death?
True
Which of the following activities would be most appropriate for a client with attention deficit hyperactivity disorder?
Volleyball
A client referred to the eating disorder clinical has lost 35 pounds during a summer spent by looking at colleges and cooking gourmet meals for friends and family. She was referred by her physician who was alarmed by the weight loss. To assess the client's eating patterns, the psych tech should ask?
What do you eat on a typical day?
Atomoxetine and bupropion must be administered
With food to minimize GI upset
For a client with anorexia nervosa, it is important to explain to the client the privileges and restrictions will be based on compliance with treatment and direcet weight gain. The rationale for this nursing intervention is?
Without adequate nutrition, a life threatening situation may occur
Individuals who are obese are treated with these medications to suppress appetite and help lose weight
amphetamines
These class of medications used in patients with attention deficit hyperactivity disorder stimulates the central alpha adrenoceptors in the brain resulting in reduced sympathetic outflow from the nervous system?
amphetamines
The parent of a 4 year old states "my child moves continually, as if driven by a motor. He is so distracted he ignored the toys I give him. He talks all the time and is awake every morning before 1 AM. I enrolled him in preschool but the teacher could not handle him. The child's problem meet the criteria for
attention deficit hyperactivity disorder
A symptom of anorexia, it is defined as the absence of menstruation that usually follow weight loss.
Amenorrhea
In clients taking CNS stimulants, atomoxetine and bupropion, it is important for the psych tech to be aware of the potential of which adverse effects?
Anorexia and weight loss
These individuals may be obsessed with food, they hoard/conceal food, talk about food in great length, and prepare elaborate meals for others only to restrict themselves to a limited amount of low-caloric food intake?
Anorexia nervosa
Psychopharmacological interventions known to be effective in treating bulimia nervosa include?
Antidepressants
About 25% of those diagnosed with attention deficit hyperactivity disorder will subsequently meet the criteria for
Antisocial personality disorder
A client diagnosed with an eating disorder experiences increased tension, helplessness, becomes overexcited with increased stimuli on the unit. What would be an appropriate nursing diagnosis for this client?
Anxiety (moderate to severe)
Before administering clonidine and guanfacine what important nursing intervention must be implemented?
Assess BP & HR
What classification of medications has been approved by the US Food and Drug Administration to treat irritability in autism spectrum disorder?
Atypical antipsychotics
The psych tech is reviewing an order of Ritalin 1-mg TID. The psych tech knows that the last dose should be administered
Before 4 pm
This therapeutic approach has the principle of positive reinforcements encourages repetition of desirable behaviors and aversive reinforcement discourages repetition of undesirable behaviors.
Behavior therapy
This type of intervention provides positive reinforcement for desired behavior and negative reinforcements for maladaptive behaviors.
Behavioral Modification
Which fact obtained during nursing assessment would cause the psych tech to consider a child to be at risk for the development of psychiatric disorder?
Being raised by a depressed mother
This eating disorder involves the patient engaged in binge eating behaviors without compensatory behaviors.
Binge eating disorder
With this eating disorder, tension is relieved and pleasure is felt during the time of the binge, but is soon followed by feelings of guilt and depression?
Bulimia nervosa
This medication is contraindicated with individuals with known or suspected seizure disorder.
Bupropion
Any physical, sexual, emotional act by parent whether intentional or unintentional that is injurious to the child is
Child abuse
An appropriate outcome criteria for a nursing diagnosis of risk for injury is
Client with refrain from impulsive behaviors
The treatment modality used in managing eating disorders helps client confront irrational thinking and strive to modify distorted and maladaptive cognitions about body image and eating behaviors and serves to help normalize behaviors by reducing the number of binging episodes
Cognitive behavioral therapy
A 15 year old is referred to the mental health by juvenile court after an arrest for vandalism and running away from home 6 times. The teen has been physically abusive to his mother and defiant to his father. The teen's problem is most consistent with?
Conduct disorder
Seen in children 8 years and older, projection is the most common defense mechanism used, The child behaves in a manner that deliberately annoys others
Conduct disorder
This disorder is characterized by a persistent pattern of behavior in which the right of others are violated and age appropriate norms are violated?
Conduct disorder
Social and environmental factors that may contribute to the development of childhood mental disorders include all except?
Constant and stable environment
What are the issues in anorexia nervosa that psychological theories are based on?
Control
There medications have been approved by the FDA for control of motor and vocal tics associated with Tourette's disorder.
Conventional antipsychotics
Excessive vomiting and laxative/diuretic abuse may lead to what medical symptoms?
Dehydration and electrolyte imbalance
Which nursing diagnosis is most appropriate for a client with anorexia nervosa who restricts and is at 20% below normal body weight?
Disturbed body image
According to the DSM-5, an individual with anorexia nervosa meets the specified restricting type if these behaviors are present?
During last 3 months, the individual has not engaged in recurrent episodes of binge eating or purging behaviors
Physical assessment of a client with bulimia nervosa often reveals?
Enlarged parotid glands
What does assessment of bulimic client often reveal?
Enlarged parotid glands
When assessing a child suspected with autism spectrum disorder, the psych tech should be particularly alert for
Failure to develop interpersonal relationship
True or False; Studies strongly suggest that there is a strong suggestion that sugar plays a role in hyperactivity.
False
Which of the following medications used to treat Tourette's disorder?
Haloperidol (haldol)
A nursing diagnosis formulated for the client with bulimia nervosa was "ineffective coping related to feelings of loneliness and isolated as evidenced by use of overeating as a comfort measure followed by self-induced vomiting". The outcome related to this nursing diagnosis is that within 2 weeks the client will
Identify two alternative methods of coping with loneliness and isolation
A 14 year old female was admitted to the eating disorder unit for anorexia nervosa. She emaciated and refuses to eat. What would be the primary nursing diagnosis for this patient?
Imbalanced nutrition: less than body requirements
The psych tech is processing a new admission with anorexia nervosa. What should the initial nursing intervention be upon admission to the unit?
Increase the patient's caloric intake
A 15 year old was referred to the mental health clinic by the juvenile court after an arrest for vandalism and assault on a teacher. The teen tells the psychiatric technician, "I hate my parents; they focus all their attention on my brother. He is perfect in their eyes." Which nursing diagnosis is most appropriate?
Ineffective coping
A child with oppositional defiant disorder demonstrates negative temperament, manipulation of others, and underlying hostility. What nursing diagnosis will be appropriate for the child?
Ineffective coping
The developmental disorder onset is prior to 18 years and is characterized by impairments in measure intellectual performance and adaptive skills across multiple domains?
Intellectual disability
What is the most common finding among abusive parents?
Lack of support system
This prenatal factor has been linked to hyperkinetic impulsive behavior in their offspring
Maternal smoking
When a child is demonstrating suicidal ideations, it is important for the psych tech to establish a trusting relationship with the client. A priority nursing intervention for a suicidal child is?
Notify the child's psychiatrist and obtain an order for a 1-to-1 observation
This is the repetition of one's own words/sounds.
Palilalia
Example of passive aggressive behaviors include
Procrastination, negativism, resistance
A child was recently diagnosed with ADHD. He will be beginning medications therapy. The psychiatric technician should prepare a plan to teach the family about which classification of medication?
Psychostimulant medications
A 5 year old patient with ADHD bounces out of a chair in the waiting room then suddenly slaps another child. What would be the psych tech's best action?
Take the child (the aggressor) to another room with toys to act out feelings)
The psych tech is caring for a patient with bulimia. Which nursing intervention is appropriate?
The client will not be allowed to use bathroom immediately after meals.
A common comorbid diagnosis of anorexia nervosa disorder is:
depression
An example of compensatory behavior after a binge eating episode is?
excessive exercise
True or False; most individuals with bulimia nervosa are overweight due to fluid loss during self-induced vomiting?
false
Assessment data of an adolescent with a conduct disorder might reveal all of the following behaviors except
feelings of guilt associated with exploitations of others
Which medication has been used with some success in clients with anorexia nervosa?
fluoxetine (prozac)
A client with anorexia nervosa has lost 25% of her body weight and is being treated in an outpatient clinic. The psych tech developed a plan of care for the client with a priority nursing diagnosis of "imbalanced nutrition: less than body requirements". A desired outcome related to this nursing diagnosis would be that within 1 week the client will
gain 3 pounds
The act of acting without reflecting and without thought to the consequences of the behavior is
impulsivity
Environmental influences in the development of attention deficit hyperactivity disorder includes exposure to
lead
The psych tech is assessing a teenage patient for self-harm. Which statement would require further nursing assessment?
"My mom keeps a bunch of pills in her nightstand"
This childhood disorder is characterized by excessive fear or anxiety concerning separation from those the individual is attached.
Separation anxiety disorder
This disorder may develop as a sign of significant stress such as the death of a relative or a pet
Separation anxiety disorder
Autism spectrum disorder affects the normal development of the brain that involves?
Social interactions and communication
According to cognitive theories the characteristics of a client with eating disorder is more likely noted
Rigidity
A child who is hyperactive, impulsive and accident-prone is unable to perceive danger. What would be an appropriate nursing diagnosis?
Risk for injury
The core psychopathology of anorexia nervosa and bulimia nervosa include all except?
Satisfaction with weight and body image
