mental health practice questions exam 2

A focus for the acute phase of treatment for anorexia nervosa would be. A. weight restoration B. Improving interpersonal skills C. Learning effective coping methods D. Changing family interaction patterns

A

Which of the following statements is true of bulimia? A. patients with bulimia often appear at a normal weight B. patients with bulimia binge eat but do not engage in compensatory measures C. Patients with bulimia severely restrict their food intake D. One sight on bulimia is lanugo.

A

Which statement is least likely to be made by a client diagnosed with bulimia nervosa during the assessment interview? A. I eat three meals each day and purge every evening B. I'm concerned about what others think about my binging and purging. C. I feel as though my eating an purging are out of my control D. When I eat I feel calm, but then I realize I have to make myself vomit or gain weight .

A

While on an inpatient unit, you are caring for newly admitted Alyssa, a 16 y/o diagnosed with anorexia nervosa. Number the following nursing interventions in order of priority A. Initiate a therapeutic relationship B. Promote caloric consumption C. Assess for suicidal ideation D. Review accomplishments made during treatment E. Explore feelings of underlying anxiety and low self-esteem

A. 1 B. 3 C. 2 D. 5 E. 4

Bupropion (Wellbutrin), although seemingly effective, is contraindicated in patient who purge because of A. Historically poor patient compliance B. Increased risk of seizures C. Long-term effects on liver function D. The potential to cause gastric ulcers

B

Which intervention would be least useful for accurate assessment of the weight of a client diagnosed with anorexia nervosa? A. weight BID daily and then TID weekly B. Weight fully clothed before breakfast C. Do not reweight client when client requests D. Permit no oral intake before weighing

B

A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? A. Amenorrhea B. Hypokalemia C. Mottling of the sin D. Slightly elevated body weight E. Presence of lanugo on the face

BD

Which of the following are true regarding feeding disorders in children? (select all that apply) A. Feeding disorders usually reflect poor parenting B. Feeding disorders are often manifested in children with developmental delays. C. Feeding disorders are most often treated with punishment system D. In many cases, toddler mealtime difficulties spontaneously resolve with no intervention E. Behavior modification has been found to be effective in treating feeding disorders.

BDE

A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse hat she is afraid she is going to gain weight. Which of the following responses should the nurse make? A. Many clients are concerned about their weight. However, the dietitian will ensure that you don't get too many calories in your diet. B. Instead of worrying about your weight, try to focus on other problems at this time. C. I understand you have concerns about your weight, but first, lets talk about your recent accomplishments D. You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you.

C

According to current theory, eating disorders A. are psychotic disorders in which patients experience body dysmorphic disorder B. are frequently misdiagnosed C. are possibly influenced by sociocultural factors D. are rarely comorbid with other mental disorders

C

Ali is a 17 y/o patient 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? A. I purge only once a day now instead of twice B. I feel a lot calmer lately, just like when I used to eat four or five cheeseburgers C. I am a hard worker and I am very compassionate toward others D. I always purge when I am alone so that I am nota bad role model for my younger sister

C

Bio`logical theorists suggest that the cause of eating disorders may be A. normal weight phobia B. Body image disturbance C. Serotonin imbalance D. Dopamine excess

C

During assessment of a client with anorexia nervosa, it is not likely that the nurse would note indications of A. Introversion B. Social isolation C. High self-esteem D. Obsessive-compulsive tendencies

C

In contrast to the client diagnosed with anorexia nervosa, the client diagnosed with bulimia usually. A. Uses greater denial B. Is aware of the eating problem C. Fits more easily into the family D. Appraises his or her body more realistically

C

A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following nursing actions should the nurse include in the client"s plan of care? A. Allow client to select preferred meal times B. Establish consequences for purging behavior C. Provide the client with high-fat diet at the start of treatment D. Implement one-to-one observation during meal times

D

A subjective symptom the nurse would expect to note during assessment of a client with anorexia nervosa is A. Lanugo B. Hypotension C. 25 lb weight loss D. Fear of gaining weight

D

The nurse can determine that inpatient treatment for a client diagnosed with an eating disorder would be warranted when the client. A. Weighs 10% below ideal body weight B. Has a serum potassium level of 3 mEq/L or greater C. Has a heart rate less than 60 bpm D. has systolic BP less than 70

D

Your 16 y/o patient newly diagnosed with anorexia. her provider is starting her on medication to reduce compulsive behaviors regarding food and resistance to weight gain. You prepare teaching on which lass of medication that may help these specific symptoms in eating disorders? A. Mood stabilizers B. Antidepressants C. Anxiolytics D. Atypical antipsychotics

D

A client reveals that she induces vomiting as often as a dozen times a day. The nurse would expect assessment finding to reveal. A. Tachycardia B. Hypokalemia C. Hypercalcemia D. Hypolipidemia

B

A client with bulimia nervosa uses enemas and laxatives to purge to maintain her weight. The imbalance for which the nurse should asses is a(n) A. increase in RBC B. Disruption of the fluid and electrolyte balance C. Elevated serum potassium level D. Elevated serum sodium level

B

When you are educating Erin and her mother about the med dosage and side effects, Erin becomes upset and tearful, stating, "NO! I will not take that medication!" Which of the following is the most likely reason for Erin's feelings? A. Erin feels embarrassed to be taking psychiatric medication B. Erin is upset the possible side effect of weight gain C. Erin is worried about the common adverse effect of sexual problems Erin's resistance is typical of her characteristics of rigidity ad needing control

B

Which assessment question should be asked of a client suspected of demonstrating characteristics of anorexia nervosa? A. Do you find yourself feeling hungry? B. How would you describe your body C. How often do you force yourself to vomit? D. Why do you choose to take laxative?

B

A client who is 16 y/o, 5'3", weighs 80 lbs, eats one tiny meal daily and engages in a rigorous exercise program. The nursing diagnosis for this client would be A. Death anxiety B. Ineffective denial C. Disturbed sensory perception D. Imbalanced nutrition: less than body requirements

C

The nurse is admitting a patient who weighs 100 pounds, is 66 inches tall, and is below ideal body weight. The patient's blood pressure is 130/80, pulse is 72, potassium is 2.5, and ECG is abnormal. Her teeth enamel is eroded, her hands are shaking, and her parotid gland is enlarged. The patient states, " I am really nervous about coming to this unit." What is the priority nursing diagnosis? A. powerlessness B. Risk for injury C. Imbalanced nutrition: less than body requirements D. Anxiety

C

Which diagnosis from the list below would be given priority for a client diagnosed with bulimia nervosa? A. Disturbed body image B. Chronic low self-esteem C. Risk for injury: electrolyte imbalance D. Ineffective coping impulsive responses to problems

C

Which intervention would be removed from the plan of care for a client diagnosed with bulimia nervosa? A. Teach that fasting sets one up to binge eat B. Assist client to identify trigger foods C. Support importance of avoiding forbidden foods D. Teach client to plan and eat regularly scheduled meals

C

Assessment of a client suspected of experiencing bulimia nervosa calls for the nurse to perform A. a range of motion assessment B. Inspection of body cavities C. Inspection of the oral cavity D. Body fat analysis

C.

A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing. A. Life isn't worth living if I gain weight B. Don't pretend like you don't know how fat I am C. If I could be skinny, I know id be popular D. When I look in the mirror, I see myself as obese

A

Brittany is caring for a patient with bulimia. She recognizes which of the following nursing interventions as being most appropriate.? A. Monitor the patient on bathroom trips after eating B. Allow the patient extensive private time with family members C. Provide meals whenever the patient requests them D. Encourage the patient to select foods that she likes

A

The client with bulimia differs from the client with anorexia nervosa by A. maintaining a normal weight B. Holding a distorted body image C. Doing more rigorous exercising D. Purging to keep weight down

A

The nurse working with clients diagnosed with eating disorders can help families develop effective coping mechanisms by A. Teaching family about the disorder and the clients behaviors B. Stressing the need to suppress overt conflict within the family C. Urging the family to demonstrate greater caring for the client D. encouraging the family to use their usual social behaviors at meals

A

The nurse is planning care for a patient with a binge eating disorder. What outcomes are appropriate? (select all that apply) A. The patient will identify stressors that lead to binge eating B. The patient will identify four alternate coping skills C. The patient will increase dietary intake D. The patient will experience satisfaction in eating alone.

AB

A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (select all that apply) A. What is your relationship like with your family? B. Why do you want to lose weight? C. Would you describe your current eating habits? D. At what weight do you believe you will look better? E. Can you discuss your feelings about your appearance ?

ACE

A client has been hospitalized with anorexia nervosa. The clients weight is 65% of normal. For this client, a realistic short-term goal for the first week of hospitalization would be: by the end of week 1, the client will A. Gain a maximum of 3 lb B. Develop a pattern of normal eating behavior C. Discuss fears and feelings about gaining weight D. Verbalize awareness of the sensation of hunger

A

A coping mechanism used excessively by clients with anorexia nervosa is A. Denial B. Humor C. altruism D. projection

A