Ch 18: Eating and Feeding Disorders
A client diagnosed with bulimia nervosa uses enemas and laxatives to purge to maintain weight. What is the likely physiological outcome of this practice?
Disruption of the fluid and electrolyte balance
A client, who is 16 years old, 5 foot, 3 inches tall, and weighs 80 pounds, eats one tiny meal daily and engages in a rigorous exercise program. Which nursing diagnosis addresses this assessment data?
Imbalanced nutrition: less than body requirements
Biological theorists suggest that the cause of eating disorders may be related to which factor?
Serotonin imbalance
Which coping mechanism is used excessively by clients diagnosed with bulimia nervosa to cope with their obsession with their body image?
Denial
Which subjective symptom should the nurse expect to note during assessment of a client diagnosed with anorexia nervosa?
Fear of gaining weight
A client hospitalized with anorexia nervosa has a weight that is 65% of normal. For this client, what is a realistic short-term goal for the first week of hospitalization regarding the physical impact of his/her weight?
Gain a maximum of 3 lb.
Which statement is true of the eating disorder referred to as bulimia?
Patients with bulimia often appear at a normal weight.
Which diagnosis from the list below would be given priority for a client diagnosed with bulimia nervosa?
Risk for injury: electrolyte imbalance
The nurse working with clients diagnosed with eating disorders can help families develop effective coping mechanisms by implementing which intervention?
Teaching the family about the disorder and the client's behaviors
After stabilization of symptoms, what is the primary focus of treatment for a client diagnosed with anorexia nervosa?
Weight restoration
Ali is a 17-year-old patient diagnosed with bulimia coming to the outpatient mental health clinic for counseling. Which of the following statements by Ali indicates that an appropriate outcome for treatment has been met?
"I am a hard worker and I am very compassionate toward others."
A 16-year-old patient being treated for anorexia, has been prescribed medication to reduce compulsive behaviors regarding food now that ideal weight has been reached. Which class of medication is prescribed for this specific issue associated with eating disorders?
Antidepressants
According to current theory, which statement regarding eating disorders is accurate?
Eating disorders are possibly influenced by sociocultural factors.
The nurse can determine that inpatient treatment for a client diagnosed with an eating disorder would be warranted when which assessment data is observed?
Has systolic blood pressure less than 90 mm Hg.
A client reveals that she induces vomiting as often as a dozen times a day. The nurse would expect assessment findings to support which electrolyte imbalance?
Hypokalemia
When educating a client diagnosed with bulimia nervosa about the medication fluoxetine, the nurse should include what information about this medication?
It will be prescribed at a higher than typical dose.
The client experiencing bulimia differs from the client diagnosed with anorexia nervosa by exhibiting which characteristic?
Maintaining a normal weight
Which intervention would be least useful for accurate assessment of the weight of a client diagnosed with anorexia nervosa?
Weigh fully clothed before breakfast.
Effective care of a client suspected of experiencing bulimia nervosa calls for the nurse to perform which assessment?
inspection of the oral cavity.
