eating disorder

An individual is seeking treatment for bulimia nervosa. The therapist decides to use cognitive behavioral therapy and medication. For what medication can a nurse expect to develop a patient education program?

A selective serotonin reuptake inhibitor (SSRI), such as escitalopram (Lexapro)

A nurse would assess for which behavior to substantiate a diagnosis of bulimia nervosa?

Abuse of diuretics and laxatives

A short-term goal for a patient with anorexia nervosa is Patient will select and eat a balanced diet. The nurse includes which nursing intervention in the care plan that will foster attainment of this goal?

Assist the patient to fill out the dietary menus to ensure a balanced diet.

Which statement would help the nurse conclude that a patient with an eating disorder is exhibiting cognitive distortion?

Bingeing makes my feelings of both isolation and loneliness go away.

Which therapy is shown through evidence to be most effective for a patient with an eating disorder?

Cognitive behavioral therapy

A patient has a maladaptive response to eating regulation. Findings include the following: T, 96.6 F; BP, 68/40; P, 40; R, 20; poor skin turgor; admits to restricting intake to 350 calories daily; and diagnostic testing reveals serum potassium of 2.9 mEq/L and urine specific gravity of 1.028. What is the highest priority nursing diagnosis for this patient?

Deficient fluid volume

A nurse would expect to assess which feature in a patient diagnosed with anorexia nervosa without bingeing or purging?

Denial of hunger at all times

A patient is diagnosed with anorexia nervosa. A nurse who is assessing for co-morbid psychiatric disorders should begin by looking for signs of which common, concurrent diagnosis?

Depression

Which goal has priority for a patient with anorexia nervosa undergoing nutritional stabilization?

Eats 100% of each meal served

A patient with an eating disorder states, Now that Ive gained 4 pounds, I cant wear shorts until I lose it again. The patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?

Magnification

What is the rationale for establishing a contract with a patient with an eating disorder at the beginning of treatment?

Patient involvement in decision making increases the sense of control and promotes cooperation.

A patient with an eating disorder states, I heard people laughing behind me in the check-out line at the department store. I bet they thought it was funny that I gained a pound in the last few days. The patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?

Personalization

What is the central concept around which a family education plan for preventing childhood eating problems is constructed?

Promoting self-demand feeding for the child

A nurse has recently been assigned to a unit that specializes in the care of patients diagnosed with eating disorders. The nurse should consider which action as having priority when preparing for this new assignment

Self-reflecting on personal feelings regarding body weight and size

Which information would be most important to a nurse assessing a patients motivation to change behavior associated with maladaptive eating regulation responses?

The number, on a scale of 1 to 10, that reflects the patients desire for treatment

A nurse has completed the assessment for a patient who has a maladaptive response to eating regulation. Findings include: height, 5 feet 3 inches; current weight, 80 pounds with weight loss of 30% of body weight; poor skin turgor; lanugo; amenorrhea of 6 months duration; and admits to restricting intake to 350 calories daily. These assessment findings are most consistent with the medical diagnosis of:

anorexia nervosa.

Care planning requires that a nurse recognize that the dynamic focus directing care of a patient with anorexia nervosa is:

controlling personal stressors.

The coping mechanism patients with anorexia nervosa use maladaptively is:

denial.

When undertaking care for patients with eating disorders, a nurse should first:

examine personal feelings about weight.

The first step in the creation of a therapeutic alliance between a nurse and a patient with a maladaptive response to eating regulation is

formulation of a nurse-patient contract.

. A nurse assesses that which individual is most likely to engage in binge-eating behaviors characteristic of bulimia? A person who:

is 5 pounds overweight and cannot stick to a diet.

major difference in assessment findings between a patient with anorexia nervosa and a patient with bulimia nervosa is that the patient with bulimia:

is often of near-normal weight while the patient with anorexia nervosa is underweight.

A nurse would evaluate that a family education plan for preventing childhood eating problems was effective if which outcome is evident?

rents keep a diary to record both physical and psychological signs of hunger for themselves and their children.

After assessing a patient with anorexia nervosa, a nurse writes the following nursing diagnosis: imbalanced nutrition, less than body requirements related to refusal to eat as evidenced by being 25% below body weight for height. The expected outcome should be listed as Patient will:

restore healthy eating patterns and normalize physiological parameters related to ideal weight.

A patient who has a maladaptive response to eating regulation says, I know my parents are already upset about me losing so much weight, but I need to lose a lot more to be at a weight that doesnt make me feel fat. This statement suggests that the best treatment setting for this patient would be:

the hospital.