Predisposing Factors to Development of Anorexia Nervosa

Predisposing Factors to Development of Anorexia Nervosa
Predisposing Factors to Development of Anorexia Nervosa
1. A nursing instructor is teaching about neuroendocrine abnormalities and the possible primary
hypothalamic dysfunction related to anorexia
nervosa and bulimia nervosa. Which of the following
theories support this possibility? Select all that
1. Some studies have found high levels of endogenous opioids in an individual’s spinal fluid.
2. Some individuals have elevated cerebrospinal fluid
cortisol levels.
3. There is possible impairment of dopaminergic
regulation with anorexia nervosa.
4. Many women experience amenorrhea before the
onset of starvation and significant weight loss.
5. There is a positive response to selective serotonin
reuptake inhibitors (SSRIs) therapy.
2. Which of the following psychodynamic influences
related to anorexia nervosa and bulimia nervosa
should a nursing student recognize? Select all that
Predisposing Factors to Development of Anorexia Nervosa
1. A very early and profound disturbance in motherinfant interactions.
2. Mother responds to child’s physical and emotional
needs with food.
3. Parents deny marital conflict by defining the child
with an eating disorder as the family problem.
4. When the vulnerable ego is threatened, feelings of
overcontrol of one’s body (self) emerge.
5. Behaviors associated with food and eating provide
needed control.
3. The episodic, uncontrolled, compulsive, rapid ingestion of large quantities of food over a short period of
time is termed .
9. A client suffering from severe anorexia nervosa has a
food intake of less than 200 calories per day. Which
symptom would a nurse expect the client to exhibit?
1. Ravenous hunger
2. Nausea and vomiting
3. No hunger sensations
4. Abnormally heavy menstruation
10. A client in the outpatient clinic is diagnosed with
bulimia nervosa. Which medication might the nurse
expect the physician to order?
1. Triple the dosage of fluoxetine (Prozac)
2. Cyproheptadine (Periactin)
3. Phentermine (Ionamin)
4. Lorcaserin (Belviq)
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