Term
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Definition
| A medical term that signifies a loss of appetite, A person with anorexia nervosa, however, may not have any loss of appetite and often and often is preoccupied with food and eating. A person with this disorder may suppress the desire for food in order to control his or her eating. |
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Definition
| An eating disorder in which individuals engage in repeated episodes of binge eating, after which the experience significant distress. |
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Definition
| Episodes of excessive and uncontrollable intake of large amounts of food, usually alternating with compensatory activities such as self induced vomiting, use of cathartics and or diuretics, and self starvation. these alternating behaviors characterize the eating disorder bulimia nervosa. |
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Definition
| Psychiatric disorders that are manifested in deficits in memory, perception, and problem solving. |
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Definition
| Persistant genital pain in either a male or female before, during, or after sex. |
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Definition
| An illegal activity that involves the intentional display of the genitals in a public place. |
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Definition
| A sexual disorder characterized by a sexual focus on subjects that are intimately associated with the human body. |
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Definition
| A sexual disorder characterized by rubbing or touching a non-consenting person. |
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Definition
| A person's feelings of unease about his maleness or her femaleness. |
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Definition
| The sense of maleness or femaleness. |
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Definition
| A sexual disorder defined as a strong and persistent cross-gender identification. |
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Definition
| Also known as sexual impulse disorders, these sexual disorders are characterized by acts or sexual stimuli that are outside of what society considers normal but necessary for for some individuals to experience desire, arousal, and orgasm. |
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Definition
| A sexual disorder that involves sexual activity with a prepubescent child. |
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Definition
| A sexual dysfunction in which a man persistently or recurrently achieves orgasm and ejaculation before he wishes to. |
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Definition
| A surgical procedure that reshapes sexual organs from one gender to another. |
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Definition
| The most extreme form of gender dysphoria, in which a person wishes to change his or her anatomical sexual characteristics to those of the opposite sex. |
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Definition
| Spasm of the vagina which leads to pain, burning, discomfort, and the inability to engage in sexual intercourse. |
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Definition
| An illegal activity that involves seeking sexual arousal through viewing, usually secretly, other people in intimate situations. |
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Term
| Which nursing intervention has highest priority for a patient with bulimia nervosa? |
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Definition
Assist the patient to identify triggers to binge eating.
For most patients with bulimia nervosa, certain situations trigger the urge to binge. Purging then follows bingeing. Often the triggers are anxiety-producing situations. Identification of triggers makes it possible to break the binge/purge cycle. Because binge eating and purging directly affect physical status, the need to promote physical safety assumes highest priority. |
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Term
| A nurse finds a patient with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Select the nurse’s best comment. |
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Definition
“According to our agreement, exercising is not permitted until you have gained a specific amount of weight.”
Treatment plans have specific goals for weight restoration. Exercise is limited to promote weight gain. Patients must be held accountable for required behaviors. |
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Term
| Erectile dysfunction can be caused by medication, anxiety, or depression. |
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Definition
True
Erectile dysfunction (impotence) has many causes, including medical conditions, medications, and psychiatric disorders such as anxiety and depression. It is unusual in young men, and when it occurs, the cause is usually psychological rather than physical. Treatment is primarily by oral or injected medications, but counseling would be the most appropriate intervention when emotional problems such as depression and anxiety are principal causes of the disorder. |
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Term
| The nursing action that takes priority when working with a patient who has a problem of sexual dysfunction or disorder is: |
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Definition
clarifying the nurse’s personal values about sexuality.
Before one can be helpful to patients with sexual dysfunctions or disorders, the nurse must be aware of his or her own feelings and values about sex and sexuality. As a corollary, nurses must keep their personal beliefs separate from their patient care in order to remain objective, professional, and effective. Nurses must be comfortable with the idea that patients have a right to their own values and must avoid criticism and censure. All of the other options are indicated as well, but self-awareness must precede them to achieve the best possible patient care. |
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Term
| A patient with anorexia nervosa in outpatient treatment has begun refeeding. Between the first and second appointment, the patient gained 8 pounds. The nurse should assess lung sounds and extremities. |
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Definition
True
Weight gain of more than 2 to 5 pounds weekly may overwhelm the heart’s capacity to pump, leading to cardiac failure. The nurse must assess for signs of pulmonary edema and congestive heart failure. |
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Term
| Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care? |
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Definition
Observe for adverse effects associated with refeeding.
Observing for complications associated with refeeding is the highest priority because of potentially adverse effects on electrolytes. Patient teaching and communication are important, but not the priorities in this situation. |
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Term
| Which finding for a patient with an eating disorder most clearly indicates the need for hospitalization? |
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Definition
Urine output less than 30 mL/hr
Severely reduced urinary output indicates dehydration, reduced kidney function, or retention caused by cardiac malfunction. Many normal people have bradycardia. Weight loss of more than 30% of ideal body weight would call for hospitalization. This potassium level is within the normal range. |
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| The male manager of a health club has been discovered to have placed a hidden video camera in the women’s locker room and has taped several women as they showered and dressed. The disorder most likely represented by this behavior is: |
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Definition
voyeurism
Voyeurism is achieving sexual pleasure through the viewing of others in intimate situations such as undressing, bathing, or having sexual relations. A homosexual individual would be interested in watching members of the same sex, and homosexuality is not typically associated with voyeurism. Exhibitionists are interested in exposing their genitals to others. Pedophiles seek sexual contact with children. |
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Term
| When teaching a patient with binge-purge bulimia, the nurse should give priority to information about: |
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Definition
symptoms of hypokalemia
Hypokalemia results from potassium loss associated with vomiting. Physiological integrity can be maintained if the patient can self-diagnose potassium deficiency and adjust the diet or seek medical assistance. Daily weight gain may not be desirable for a patient with bulimia nervosa. Self-esteem is an identifiable problem but is of lesser priority than the risk for hypokalemia. |
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Term
| A nurse is performing a nursing assessment for a 59-year-old man who is hypertensive. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment? |
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Definition
Sexual dysfunction may result from use of prescription and nonprescription drugs.
Some of the drugs used to treat hypertension can interfere with normal sexual functioning and lead to sexual disorders. Hypertension itself can lead to acquired erectile dysfunction. It would not be appropriate or necessary to use such inquiries as a lead-in to other sexual health topics. Sexual dysfunction, while stressful, is not generally considered to cause hypertension. |
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