Test 4 - OBJ

Test 4 - OBJ - Learning objectives Chapter 12: Eating...

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Learning objectives Chapter 12: Eating disorders 1. What is the most common eating disorder diagnosis given? a. Eating Disorder Not Otherwise Specified 2. Explain the gender differences among the eating disorders. a. More women for AN, but men are catching up 3. List the diagnostic criteria for anorexia nervosa (AN). Explain the problems with the current diagnostic criteria for AN. What changes have been proposed to overcome the problems in the diagnostic criteria for AN? What are the advantages of the proposed diagnostic criteria? a. Criteria a.i. Refusal to maintain healthy body weight for age and height a.ii. Intense fear of gaining weight or becoming fat, even though underweight a.iii. Undue influence on self-evaluation or denial of the seriousness of low weight a.iv. Amenorrhea in postmenarcheal females b. Problems b.i. Males do not have menstruation cycles, making their diagnosis into something else when they clearly exhibit anorexic characteristics b.ii. AN has a higher rate of death by suicide than BN c. Changes c.i. Include lanugos c.i.1. Downy covering of soft hair over the body 4. Explain the restricting and the binge-purge subtypes of AN. a. Restricting a.i. Not engaging in regular binge-eating or purging a.ii. Amount of food intake is very small b. Binge-eating b.i. Regular purging behavior b.ii. A person feels that they ate too much during the binge purge b.iii. Laxatives, diuretics, excessive exercising c. Constant cycle between two subtypes 5. Summarize the medical complications associated with AN. a. Symptoms of starvation a.i. Lanugos, constipation, cold intolerance b. Major organ failures b.i. Cardiovascular complications b.ii. Kidney failure 6. List the diagnostic criteria for bulimia nervosa (BN). a. Recurrent binge eating a.i. Eating an amount of food that is definitely larger than most people would eat under similar conditions in a two hour period a.ii. A sense of lack of control over eating during the episodes a.iii. Usually at expected weight, or even a little bit over weight b. Compensatory behavior b.i. Self-induced vomiting b.ii. Laxatives b.iii. Diuretics b.iv. Fasting b.v. Excessive exercising c. On average, binge eating and compensation occur twice a week or more for three months d. Self-evaluation is unduly influenced by body shape and weight e. Does not occur exclusively during episodes of AN 7. Explain the purging and nonpurging subtypes of BN. a. Purging type a.i. Self-induced vomiting, misuse of laxatives, diuretics or enemas b. Nonpurging type
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b.i. Other inappropriate compensatory behaviors like fasting, excessive exercise, but not self-induced vomiting 8. Summarize the medical complications associated with BN. a. Erosion of dental enamel b. Hypersensitive gag reflex c. Ruptured esophagus d. Ruptured stomach 9. Explain what eating disorders not otherwise specified (EDNOS) is. Give examples of EDNOS. a.
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Test 4 - OBJ - Learning objectives Chapter 12: Eating...

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