Eating disorders

D

A client is found to be eating powdered laundry detergent on more than one occasion. This is most likely a sign of which feeding problem? A. Binge eating B. Rumination C. Bulimia D. Pica

D

A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate? a. "You and I will have to sit down and discuss this problem." b. "It bothers me to see you exercising. I am afraid you will lose more weight." c. "Let's discuss the relationship between exercise, weight loss, and the effects on your body." d. "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."

B

A nurse provides care for an adolescent patient diagnosed with an eating disorder. Which behavior by this nurse indicates that additional clinical supervision is needed? A. The nurse refers the patient to a self-help group for individuals with eating disorders. B. The nurse interacts with the patient in a protective fashion. C. The nurse's comments to the patient are compassionate and nonjudgmental. D. The nurse teaches the patient to recognize signs of increasing anxiety and ways to intervene .

C

A nurse provides health teaching for a patient diagnosed with binge-purge bulimia. 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.

D

A nursing diagnosis for a patient with bulimia nervosa is: Ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is that within 2 weeks the patient will: a. appropriately express angry feelings. b. verbalize two positive things about self. c. verbalize the importance of eating a balanced diet. d. identify two alternative methods of coping with loneliness.

A

A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight. A nurse asks, Describe what you think about your present weight and how you look. Which response by the patient is most consistent with the diagnosis? a. I am fat and ugly. b. What I think about myself is my business. c. I am grossly underweight, but thats what I want. d. I am a few pounds overweight, but I can live with it.

C

A patient referred to the eating disorders clinic has lost 35 pounds during the past 3 months. To assess eating patterns , the nurse should ask the patient: A. "Who plans the family meals?" B. "What do you think about your present weight?" C. "What do you eat in a typical day?" D. "Do you often feel fat?"

D

A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is currently 2.7 mg/dL. Which nursing diagnosis applies? a. Adult failure to thrive related to abuse of laxatives as evidenced by electrolyte imbalances and weight loss b. Disturbed energy field related to physical exertion in excess of energy produced through caloric intake as evidenced by weight loss and hyperkalemia c. Ineffective health maintenance related to self-induced vomiting as evidenced by swollen parotid glands and hyperkalemia d. Imbalanced nutrition: less than body requirements related to reduced oral intake as evidenced by loss of 25% of body weight and hypokalemia

D

A psychiatric clinical nurse specialist uses cognitive-behavioral therapy for a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy? a) "What are your feelings about not eating foods that you prepare?" b) "You seem to feel much better about yourself when you eat something." c) "It must be difficult to talk about private matters to someone you just met." d) "Being thin doesn't seem to solve your problems. You are thin now but still unhappy."

C

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. To increase oral intake after 4 PM daily C. Not to skip meals or restrict food D. The value of reading journal entries aloud to others

A

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 the 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.

C

Disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor? A. Weight, muscle, and fat congruence with height, frame , age, and sex B. Calorie intake is within required parameters of treatment plan C. Patient expresses satisfaction with body appearance D. Weight reaches established normal range for the patient

D

Outpatient treatment is planned for a patient diagnosed with anorexia nervosa. Select the most important desired outcome related to the nursing diagnosis: Imbalanced nutrition: less than body requirements. Within 1 week, the patient will: a. Weigh self accurately using balanced scales. b. Limit exercise to less than 2 hours daily. c. Select clothing that fits properly. d. Gain 1 to 2 pounds.

A

Physical assessment of a patient diagnosed with bulimia nervosa often reveals: a. prominent parotid glands. b. peripheral edema. c. thin, brittle hair. d. amenorrhea.

A, C, D, E

The school nurse is conducting an assessment to determine if a client has anorexia nervosa. Which of the following statement(s) by the client will most suggest that the client may indeed have anorexia nervosa? Select all that apply A) "I don't have periods anymore. I'm glad " B) "I know I have a problem with eating." C) "I want to be a chef and cook for other people." D) "People say I'm skinny, but I'm fat and repulsive." E) "The idea of eating makes me nauseated."

D

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

D

Which nursing diagnosis is more applicable to a patient with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient with bulimia nervosa who purges? a. Powerlessness b. Ineffective coping c. Disturbed body image d. Imbalanced nutrition: less than body requirements

A

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

A

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.

B

Which patient statement acknowledges the characteristic behavior associated with a diagnosis of pica? a. "Nothing could make me drink milk." b. "I'm ashamed of it, but I eat my hair." c. "I haven't eaten a green vegetable since I was 3 years old." d. "I regurgitate and re-chew my food after almost every meal."

B

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