mental health chapter 20

Several medications are prescribed for a client who has anorexia. Which medication may be prescribed to help treat the client's distorted body image?

Olanzapine (Zyprexa)

While assessing the family dynamics of a client with an eating disorder, which of the following does the nurse most likely discover?

Over controlling parents

Which is the primary objective of nursing interventions in the care of a client with anorexia nervosa?

Restoring nutritional status to normal

During an initial interview at a clinic, a young female client states that there is nothing wrong with her. Which would indicate to the nurse that this client might have anorexia nervosa?

Severe weight loss due to self-imposed dieting

A 16-year-old female with anorexia nervosa is admitted to the unit. Which is the most appropriate short-term outcome?

The client will admit she has a fear of gaining weight.

Which eating disorder is characterized by consuming an amount of food much larger than a person would normally eat and of near-normal weight? Afterward, the client may purge the food or exercise excessively, and between binges, the client may eat low-calorie foods or fast.

Bulimia nervosa

Which nursing intervention would be most likely to help the client with anorexia to establish healthy eating patterns?

Offer liquid protein supplements if the client is unable to complete meal.

The nurse is teaching a client with bulimia to use self-monitoring techniques. Which client statement would let the nurse know that this has been effective?

"I am learning to recognize events and emotions that trigger my binges and am working on responses other than binging and purging."

Which nursing statement is most effective in communicating a positive expectation of the client?

"I will sit here quietly with you while you eat."

The nurse has been teaching a client about bulimia. Which statement by the client indicates that the teaching has been effective?

"I'll eat small meals and snacks regularly."

The nurse uses cognitive-behavioral approaches to assist the client with bulimia toward recovery. Which statement by the nurse would be consistent with this approach?

"Is there any way you can look at that sandwich as fuel for your body?"

When documenting the mental status exam findings in the chart of a client with anorexia, the nurse notes poor judgment and insight. Which client statement would support this impression?

"Others are just trying to keep me from looking good."

The nurse is assisting the client with anorexia to express feelings more openly. Which response by the nurse would be most likely to encourage expression of feelings?

"Tell me what you are feeling right now."

The nurse has been teaching the client's family about the client's eating disorder, anorexia nervosa. Which statement would indicate that teaching was effective?

"We will negotiate resolutions to family conflicts."

The nurse understands that before a client with an eating disorder can accept their body image, he or she must first learn effective coping skills. Which statement best describes the relationship between body image and coping skills?

Being able to cope in healthy ways improves the ability to accept a realistic body image.

Which may help a person to overcome an eating disorder that causes weight gain?

Believing that gaining weight is a side effect of unhealthy lifestyle behaviors and losing weight is a side effect of healthy lifestyle behaviors

A 15-year-old female is admitted for treatment of anorexia nervosa. Which is characteristic of anorexia nervosa?

Body weight less than normal for age, height, and overall physical health

A client who has an eating disorder is becoming dependent on the nurse for direction in food choices. Which approach by the nurse would demonstrate the nurse's self-awareness?

Approach the client with an adult-like objectivity.

What is the primary difference between anorexia nervosa and bulimia nervosa?

Clients who are anorexic are proud of their control over eating, and clients with bulimia are ashamed of their behavior.

A nurse is presenting information to a community group about health. Which information should the nurse provide regarding calorie restriction diets at an early age in children?

Dieting at an early age may lead to the development of eating disorders.

The nurse is assessing a client with an eating disorder. Which personality characteristic would the nurse expect to detect when interacting with the client?

Eager to please

Which of the following would be most supportive for family and friends of a client with an eating disorder?

Emotional support, love, and attention

The nurse is teaching the family of a client who has bulimia about nutritional needs. Which dietary pattern would be most helpful to assist the client in recovering from bulimia?

Encourage the entire family to engage in a balanced and regular dietary pattern.

The nurse understands that which biologic factors may influence the development of an eating disorder? Select all that apply.

Family history of eating disorders Dysfunction of the hypothalamus Norepinephrine imbalances Decreased serotonin levels

When preparing a client with bulimia for discharge, the nurse suggests that the client and family continue with family therapy on an outpatient basis. Which of the following is the rationale for this suggestion?

Family members often need to learn role independence and autonomy.

Which of the following interventions would be appropriate for a client with anorexia nervosa?

Having the client in view of staff for 90 minutes after each meal

All of the following nursing diagnoses are appropriate for the care of a client with anorexia. Which nursing diagnosis has the highest priority?

Imbalanced nutrition: less than body requirements

Which factors may contribute to the frequency of eating disorders in adolescents? Select all that apply.

Media portrayal of slimness as an ideal Body dissatisfaction in adolescent females Body image disturbance Seeking autonomy Seeking to develop a unique identity

The nurse is assessing a client with bulimia nervosa. Which of the following symptoms would the nurse expect to find? Select all that apply.

Normal weight for height Dental erosion Metabolic alkalosis

When working with the family of a client with anorexia nervosa, which of the following issues must be addressed?

control issues

Which nursing diagnosis would be most difficult to successfully resolve in a client who had anorexia nervosa?

disturbed body image