Chapter 12 NCLEX Review (website)
The client with bulimia is establishing a plan of action to avoid binging and purging behavior. Which of the following statements by the client would require the nurse to intervene and assist the client to set a new goal?
"I can watch television or go to a movie when I feel anxious or moody
Which of the following clients is at highest risk for developing bulimia?
25 year old prostitute who has a chronic addiction to cocaine.
A 30-year-old female client has been admitted to the intensive care unit (ICU) with metabolic alkalosis. She was diagnosed with anorexia nervosa 10 years ago and says that she is "too fat" even though she weighs 70 pounds and is 5 feet 4 inches. Her primary nursing diagnosis is Imbalanced Nutrition: Less Than Body Requirements related to reduced food intake and self-induced vomiting. Which of the following nursing diagnoses is the greatest priority immediately after she is medically stable in the ICU?
Body Image Disturbance related to delusional perception of body.
A high school wrestler fasts before every wrestling meet and then binges immediately after the meet. On the way to each meet, he walks rapidly up and down the bus aisle and spits repeatedly into a cup. Which of the following is the best intervention for this client?
Discuss secondary gains that are unconsciously driving the client's behavior.
A nurse is teaching clients with anorexia nervosa methods of normalizing eating behaviors. Which of the following statements by a client indicates to the nurse that the client needs further teaching?
I will eat a diet high in protein, fiber, and fat
Which of the following statements made by a client with anorexia require the nurse's counsel to address the client's distorted cognitive views?
If I stick to my diet and eat the right foods I will be able to live a normal life."
The nurse is caring for two clients with eating disorders. Which of the following assessment findings would the nurse expect to find in the client with anorexia nervosa but not in the client with bulimia?
Lanugo
Which of the following intrapersonal factors is not a common characteristic of clients with anorexia?
Patience
A client with bulimia asks the nurse, "I wish I knew more about what causes bulimia. I read on the Internet that some people with bulimia have trouble knowing when they're full and that's why they keep bingeing." Which of the following responses by the nurse would be most appropriate?
That's right. Some people with bulimia have a low level of serotonin, the neurotransmitter that lets you know when you're full
A female Asian American client who has a BMI of 25 kg/m2 is referred to the outpatient clinic by her primary care provider to be assessed and treated for an eating disorder. Which of the following signs and symptoms would the nurse recognize as supporting the diagnosis of bulimia? (Select all that apply.)
The client has become socially withdrawn and never eats out with friends. The client has an obsession with fad diets in order to lose weight. The client expresses a fear of her inability to maintain her normal body weight. The client has a callous on the back of her hand.
