Eating Disorders

During hospitalization, a client with bulimia stops purging but becomes fearful that she will gain weight. She tells the nurse, "I can't gain weight. I'm fat enough as it is. I'll be really disgusting if I get fatter." When responding to this client, which response by the nurse would be most therapeutic? A. Explain that the calories in her prescribed diet are not enough to cause weight gain. B. Use nonjudgmental and realistic comments. C. Encourage her to negotiate a calorie change with the nutritionist. D. Reassure her that the staff will take complete control of her eating and will prevent her from gaining weight in the hospital.

B. Use nonjudgmental and realistic comments

A client with bulimia binges twice a day. The nurse interprets these binges as most likely involving which factors for the client? A. feelings of euphoria and gratification B. feeling out of control and disgusted with self C. leaving traces of food around to attract attention D. eating increasing amounts of food for substantial weight gain

B. feeling out of control and disgusted with self

An adolescent client is being admitted with an eating disorder. Which initial assessment finding is of greatest concern for the nurse? A. a potassium level of 2.5 mEq/L (2.5 mmol/L) B. a weight loss of 10% over 6 months C. a heart rate of 57 bpm D. a systolic blood pressure of 100 mm Hg

A. a potassium level of 2.5 mEq/L (2.5 mmol/L)

A nurse is caring for a client diagnosed with bulimia nervosa. The most appropriate initial goal for this client is to: A. identify a connection between anxiety and eating behaviors. B. restrict eating to three meals per day. C. avoid shopping for large amounts of food. D. control eating impulses.

A. identify a connection between anxiety and eating behaviors.

One of the goals for a client with anorexia nervosa is for the client to demonstrate increased individual coping by responding to stress in constructive ways. Which intervention will the nurse discuss with the client as the best way to work toward meeting the goal? A. keeping a personal journal and discussing it with the nurse B. connecting with family and friends through phone calls C. engaging in an enjoyable cardiovascular exercise daily D. studying the practices of mindfulness and meditation

A. keeping a personal journal and discussing it with the nurse

Which of the following statements is accurate about eating disorders? A. Eating disorders typically have an abrupt onset. B. People with eating disorders readily seek health care. C. An eating disorder is considered a form of dieting. D. There is a high mortality rate associated with eating disorders.

D. There is a high mortality rate associated with eating disorders.

While providing care to a client who has bulimia nervosa, the client discloses her methods of purging. In assessing further, what area of the body would you inspect for Russell's sign? A. Knuckles of the hand B. Facial cheek C. Mouth/teeth D. Throat

A. Knuckles of the hand

A nurse is planning an in-service for nursing staff about the mortality of eating disorders. Which of the following information should the nurse include? A. One out of 10 people who have anorexia nervosa die within 10 years of the onset of the condition. B. Someone looses their life to an eating disorder every 52 min. C. The risk of dying due to an eating disorder decreases over time. D. Clients diagnosed with an eating disorder are at a higher risk for suicide than clients diagnosed with other mental disease.

A. One out of 10 people who have anorexia nervosa die within 10 years of the onset of the condition

The nurse in a mental health clinic assesses an adolescent client for a suspected eating disorder. What question by the nurse will gather the most useful information for designing the treatment plan? A. "Do you ever eat to regulate your emotions?" B. "What do you think of your body?" C. "What kinds of foods do you like to eat?" D. "What activities do you engage in during the day?"

B. "What do you think of your body?"

A nurse works with a client diagnosed with bulimia. What is the most appropriate long-term client goal for this client? A. Be able to eat out without binging or purging. B. Manage stresses in life without binging or purging. C. Eat meals at home without binging or purging. D. Be able to attend college without binging or purging.

B. Manage stresses in life without binging or purging.

A nurse performing an assessment determines that a client with anorexia nervosa is currently unemployed and has a family history of affective disorders, obesity, and infertility. Based on this information, the nurse should monitor the client for which health concern? A. explosive outbursts B. alcohol abuse C. suicide potential D. avoidance behavior

C. suicide potential

Russell's sign

Callouses and bruising on the knuckles resulting from self-induced vomiting by sticking one's fingers down the throat.

Pica

Consuming inedible objects, such as clay, dirt, or paint, and is more commonly exhibited by children.

A nurse is caring for a client who has anorexia nervosa. which of the following personality traits should the nurse expect the client to exhibit? A. Carelessness B. Hostility C. Arrogance D. Perfectionism

D. Perfectionism

A nurse is developing a care plan for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Encourage the client to exercise, to reduce anxiety. B. Restrict visits with family members until the client begins to eat. C. Provide privacy for the client during meals. D. Set up a strict eating plan with the client.

D. Set up a strict eating plan with the client.

What types of medical and psychiatric health conditions are associated with an eating disorder?

There are several comorbidities associated with eating disorders. Depression, anxiety, substance use disorder, obsessive-compulsive disorder, and personality disorders have been found to coexist. Medical comorbidities could include conditions such as cardiovascular and pulmonary impairment, gastrointestinal problems, osteoporosis, kidney failure, neuroendocrine changes, and dental erosion.

Rumination Disorder

involves intentionally regurgitating food in a repetitive manner.

Diabulimia

is an eating disorder in which a person who has type 1 diabetes reduces or stops taking their insulin in order to lose weight.