Chapter 18

Which coping mechanism is used excessively by clients diagnosed with bulimia nervosa to cope with their obsession with their body image? A. Denial B. Humor C. Altruism D. Projection

A. Denial

Which anorexia nervosa symptom is physical in nature? A. Dry, yellow skin B. Perfectionism C. Frequent weighing D. Preoccupation with food

A. Dry, yellow skin

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? A. Mood stabilizers B. Antidepressants C. Anxiolytics D. Atypical antipsychotics

B. Antidepressants

Which personality characteristic is a nurse most likely to assess in a patient diagnosed with anorexia nervosa? a. Carefree flexibility b. Rigidity, perfectionism c. Open displays of emotion d. High spirits and optimism

b. Rigidity, perfectionism

A patient referred to the eating disorders clinic has lost 35 pounds in 3 months. For which physical manifestations of anorexia nervosa should a nurse assess? (Select all that apply.) a. Peripheral edema b. Parotid swelling c. Constipation d. Hypotension e. Dental caries f. Lanugo

A, C, D, F

The client experiencing bulimia differs from the client diagnosed with anorexia nervosa by exhibiting which characteristic? A. Maintaining a normal weight B. Holding a distorted body image C. Doing more rigorous exercising D. Purging to keep weight down

A. Maintaining a normal weight

A client diagnosed with an eating disorder has a nursing diagnosis of low self esteem. Which nursing intervention would address this client's problem? A. Offer independent decision making opportunities B. Review previously successful coping strategies C. Provide a quiet environment with decreased stimulation D. Allow the client to remain in a dependent role throughout treatment

A. Offer independent decision making opportunities

Which statement is true of the eating disorder referred to as 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 sign of bulimia is lanugo.

A. Patients with bulimia often appear at a normal weight.

A client diagnosed with bulimia nervosa uses enemas and laxatives to purge to maintain weight. What is the likely physiological outcome of this practice? A. Increase in the red blood cell count B. Disruption of the fluid and electrolyte balance C. Elevated serum potassium level D. Elevated serum sodium level

B. Disruption of the fluid and electrolyte balance

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? A. Hypernatremia B. Hypokalemia C. Hypercalcemia D. Hypolipidemia

B. Hypokalemia

When educating a client diagnosed with bulimia nervosa about the medication fluoxetine, the nurse should include what information about this medication? A. It will reduce the need for cognitive therapy. B. It will be prescribed at a higher than typical dose. C. There are a variety of medications to prescribe if fluoxetine proves to be ineffective. D. Long-term management of symptoms is best achieved with tricyclic antidepressants

B. It will be prescribed at a higher than typical dose.

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

C. Eating disorders are possibly influenced by sociocultural factors.

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. Risk for injury: electrolyte imbalance

Biological theorists suggest that the cause of eating disorders may be related to which factor? A. Normal weight phobia B. Body image disturbance C. Serotonin imbalance D. Dopamine excess

C. Serotonin imbalance

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. inspection of the oral cavity.

The nurse can determine that inpatient treatment for a client diagnosed with an eating disorder would be warranted when which assessment data is observed? A. Weighs 10% below ideal body weight. B. Has serum potassium level of 3 mEq/L or greater. C. Has a heart rate less than 60 beats/min. D. Has systolic blood pressure less than 70 mm Hg.

D. Has systolic blood pressure less than 70 mm Hg.

Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa? a. Assist the patient to identify triggers to binge eating. b. Provide corrective consequences for weight loss. c. Assess for signs of impulsive eating. d. Explore needs for health teaching.

a. Assist the patient to identify triggers to binge eating.

An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments, the patient gained 8 pounds. The nurse should a. assess lung sounds and extremities. b. suggest use of an aerobic exercise program. c. positively reinforce the patient for the weight gain. d. establish a higher goal for weight gain the next week.

a. assess lung sounds and extremities.

Physical assessment of a patient diagnosed with bulimia often reveals a. prominent parotid glands. b. peripheral edema. c. thin, brittle hair. d. 25% underweight.

a. prominent parotid glands.

Which nursing intervention has the highest priority as a patient diagnosed with anorexia nervosa begins to gain weight? a. Assess for depression and anxiety. b. Observe for adverse effects of refeeding. c. Communicate empathy for the patient's feelings. d. Help the patient balance energy expenditures with caloric intake.

b. Observe for adverse effects of refeeding.

An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient a. to eat a small meal after purging. b. not to skip meals or restrict food. c. to increase oral intake after 4 PM daily. d. the value of reading journal entries aloud to others.

b. not to skip meals or restrict food.

A nurse provides health teaching for a patient diagnosed with bulimia nervosa. Priority information the nurse should provide relates to a. self-monitoring of daily food and fluid intake. b. establishing the desired daily weight gain. c. how to recognize hypokalemia. d. self-esteem maintenance.

c. how to recognize hypokalemia.

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction? a. Renal b. Endocrine c. Integumentary d. Cardiovascular

d. Cardiovascular

Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization? a. Urine output 40 mL/hour b. Pulse rate 58 beats/min c. Serum potassium 3.4 mEq/L d. Systolic blood pressure 62 mm Hg

d. Systolic blood pressure 62 mm Hg