Chapter 54 questions

The nurse is educating a parent support group for teens with anorexia. Which of the following statements would the nurse suggest for the parents? A. Avoid making comments about the teen's appearance. B. Discuss food and calories with the teen. C. Discuss weight with the teen. D. Tell the teen not to talk to peers or counselors.

A. Avoid making comments about the teen's appearance.

The nurse is preparing teaching materials for the parents of a child with encopresis. What information should the nurse emphasize during this teaching? A. Not punishing the child for the condition B. Importance of cleaning the child immediately after an accident occurs C. Necessity for giving 4 to 6 tablespoons of Kaopectate per day D. Need for keeping the child close to bathroom facilities at all times

A. Not punishing the child for the condition

In reviewing the assessment findings of a young hospitalized adolescent female, the nurse would realize that which finding would be indicative of the diagnosis of anorexia nervosa? Select all that apply. A. depression B. hypertension C. diarrhea D. Disposes of food in the trash or toilet E. lanugo over the back and arms

A. depression D. Disposes of food in the trash or toilet E. lanugo over the back and arms

The nurse is providing discharge instructions to a child diagnosed with encopresis. Which of the following instructions would the nurse question? A. Make a follow up visit with a child psychologist/psychiatrist. B. Encourage positive reinforcement for the child's toilet habits. C. Complete diet log or record. D. Limit the amount of milk given.

B. Encourage positive reinforcement for the child's toilet habits.

When teaching parents of a child with encopresis, what would the nurse stress? A. Importance of cleaning the child immediately after an accident occurs B. Need for keeping the child close to bathroom facilities at all times C. Not punishing the child for encopresis D. Necessity for giving 4 to 6 tablespoons of bismuth subsalicylate per day

C. Not punishing the child for encopresis

The nurse has been working for several days with an adolescent who has anorexia nervosa. What is an indication that the adolescent is developing trust in the nurse? A. The adolescent stating "You're the best nurse on the unit." B. Saying which nurse's orders the adolescent will follow. C. The adolescent telling the nurse purging occurs after each meal. D, The adolescent stating the desire to eat again.

C. The adolescent telling the nurse purging occurs after each meal.

The nurse is working with school-aged children who are having enuresis or encopresis. What will most likely be the first step in this child's treatment? A. The child will be taken to a therapist. B. The child will be given medications. C. the child will have a complete physical exam. D. The child will be given a strict daily schedule.

C. the child will have a complete physical exam.

A nurse is caring for a 17-year-old female client with bulimia. Which complication of this disease may the nurse see in this child? A. Severe acne B. Hernia C. Partial paralysis D. Menstrual problems

D. Menstrual problems

The nurse is doing a presentation on the diagnosis of bulimia to a group of pediatric nurses. Which clinical manifestation would the nurse teach this group to observe for in the adolescent with bulimia? A. dry skin and brittle nails B. hypokalemia C. soft hair on their backs and arms D. constipation

B. hypokalemia

Parents of a school-age child experiencing encopresis are discussing the problem with the child's health care team. Their understanding of this problem is indicated when the parents respond in what manner? A. He needs to be allowed to make his own decisions or choices about his life. B. If there is no organic cause for the problem, the family may need to explore counseling for an emotional problem. C. Encopresis always indicates that the child is constipated and needs nutritional counseling. D. They can help the child by trying to control his stooling pattern with medication

B. If there is no organic cause for the problem, the family may need to explore counseling for an emotional problem.

An adolescent client has been diagnosed with bulimia nervosa. What does the nurse explain as the goal of treatment for this client? A. helping the client return to a healthy weight for height B. family therapy as this is linked to family disturbances C. removing the stressors from life that caused this D. restoring nutritional balance and a healthy self-image

D. restoring nutritional balance and a healthy self-image

A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should the nurse carefully assess for in this client? A. Severe erosion of teeth B. Diabetes mellitus C. Hypertension D. Atherosclerosis

A. Severe erosion of teeth

An adolescent has been diagnosed with bulimia, and the parents are asking how to best deal with this problem. What suggestion should the nurse make to the parents to help care for the adolescent? A. Administer antiemetics on a regular basis to reduce the urge to vomit after eating. B. Monitor the adolescent constantly to ensure that she is not binge eating. C. Minimize or ignore any comments made by the adolescent about body image distortion or being overweight and dieting. D. Develop a contract with the adolescent, setting goals of behavior and her diet, as well as privileges gained by meeting the contracted goals.

D. Develop a contract with the adolescent, setting goals of behavior and her diet, as well as privileges gained by meeting the contracted goals