Chapter 18 EAQ: Eating & Feeding Disorders
At a health camp, the nurse is teaching about eating disorders. Which statement by a participant indicates a need for further teaching?
"Anorexia nervosa can be completely cured with adequate treatment."
Which assessment question would be asked of a patient whose symptoms are consistent with a diagnosis of anorexia nervosa?
"How would you describe your body?"
Which statement made by a patient diagnosed with bulimia indicates that an appropriate outcome for treatment has been met?
"I am coping better with stress to decrease my urges to binge."
Which statement by a patient indicates the presence of a binge-eating disorder?
"I do not exercise to reduce weight."
Which comment by the patient indicates bulimia nervosa rather than anorexia nervosa?
"If I want to do something, I just do it. I don't like to analyze things too much."
Which clinical finding would the nurse anticipate when caring for a patient diagnosed with anorexia?
Bradycardia
Which neurobiological factor contributes to the dysregulation of appetite, mood, and impulse control in eating disorders?
Altered serotonin
The nurse is assessing a teenager who is underweight compared with others in a similar age and height category. On interviewing, the nurse finds that the teen has a fear of gaining weight and is refusing to eat. Which condition would the nurse consider?
Anorexia nervosa
A nurse is teaching a patient with bulimia nervosa about scheduling healthy, balanced meals. Which rationale is appropriate for this intervention?
Avoid binge-purge cycles
A nurse is assessing a child who does not like certain foods in the daily diet. On examination, the nurse notes that the body mass index of the child is very low. Which diagnosis would the nurse suspect for this patient?
Avoidant/restrictive food intake disorder
Which reason would the nurse suspect for the presence of gastric dilation in a patient with bulimia nervosa?
Binge eating
A patient presents with decreased cardiac output. The nurse notes that the patient experiences bingeing and then purges to make up for the calories gained. Which condition would the nurse suspect?
Bulimia nervosa
Which assessment finding is associated with bulimia nervosa?
Dental erosion
Which diagnosis would be given priority for a patient diagnosed with bulimia nervosa?
Electrolyte imbalance
Which patient outcome is appropriate for a patient with a binge-eating disorder?
Ensure steady weight loss
Which subjective symptom would the nurse expect to note during assessment of a patient with anorexia nervosa?
Fear of gaining weight
A patient with bulimia nervosa uses enemas and laxative to purge to maintain weight. For which imbalance would the nurse assess?
Fluid and electrolyte levels
Which physiological response may cause a finding in a patient with severe anorexia and yellow skin?
Hypercarotenemia
A patient with anorexia nervosa reveals self-induced vomiting as often as 12 times a day. The nurse would expect assessment findings to reveal which symptom?
Hypokalemia
The nurse understands that facial edema found next to the ear in a patient diagnosed with bulimia nervosa is most likely caused by which condition?
Increased serum amylase levels
Which assessment by the nurse is important for a patient suspected of experiencing bulimia nervosa?
Inspection of the oral cavity
Which symptom is consistent with bulimia?
Maintain a normal weight
Which statement is true related to a patient with bulimia nervosa?
Maintains a normal weight
Which assessment finding would the nurse anticipate for a patient newly diagnosed with binge-eating disorder?
Normal weight
A patient with anorexia nervosa was discharged from a specialized eating-disorder unit 3 weeks ago, weighing 123 pounds. The patient returns to the outpatient clinic for a follow-up visit. The patient's ideal body weight is 154 pounds with a current body weight of 112 pounds. Which action is the nurse's priority?
Notify the healthcare provider
Which priority outcome is associated with the acute treatment for anorexia nervosa?
Weight restoration
