NURS 663 - Psychiatric Mental

NURS 663 - Psychiatric Mental Health Diagnosis and Management II

Exam 2

Question:

Enuresis Prevalence

Answer:

· Prevalence is 5-10% of five-year-old's · 1.5-5% of 9-10-year-old · Nocturnal enuresis more common in boys

Question:

Enuresis

Diagnostic Criteria:

Answer:

· Must be at least 5 years old · Voiding in bed or clothes, either intentional or unintentional 1 / 4

· Must occur twice weekly for a period of at least 3 months · Not caused by a medical condition

Question:

Enuresis

Concurrent Conditions

Answer:

· People with enuresis are at higher risk for ADHD · More likely to have encopresis

Question:

Enuresis

Treatment

Answer:

· Bed alarm · Classic conditioning · Treatment- bed alarms and Desmopressin

• / 4

Question:

Bulimia Nervosa

Diagnostic Criteria: Recurrent episodes of binge eating. An episode is

characterized by both of the following:

Answer:

• Eating, in a discrete period of time (within 2-hour period) an amount of

food that is larger that what most individuals would eat in in a similar period of time

• A sense of lack of control over eating during the episode (feeling like they

cannot stop eating)

· Recurrent inappropriate compensatory behaviors in order to prevent

weight gain: such as self-induced vomiting, misuse of laxatives, diuretics, or

other medications, fasting, or excessive exercise

· The binge eating and inappropriate compensatory behaviors both occur, on average, at least once per week for 3 months

· Self-evaluation is unduly influenced by body weight and shape

Question:

Bulimia Nervosa

Severity

Answer: 3 / 4

· Mild 1-3 episodes per week · Moderate 4-7 episodes per week · Severe- 8-13 episodes per week · Extreme 14 or more episodes per week

Question:

Binge-Eating Disorder:

Diagnostic Criteria: Recurrent episodes of binge-eating is characterized by

both of the following

Answer:

· Eating in a discrete period of time (2 hours) an amount of food that is larger than what most people would eat

· A sense of lack of control over what and how much one is eating

· The binge-eating episodes are associated with 3 or more of the following

· Eating much more rapidly than normal

· Eating until feeling uncomfortably full

· Eating large amounts of food when not feeling physically hungry

• / 4