Eating Disorders | Engage Mental Health Module

A nurse in a mental health facility is caring for a client who has an eating disorder Laboratory Reports 1500: Complete Blood Count: Hgb 10 g/dL (12 to 18 g/dL) Hct 30% (37% to 52%) Platelet count 100,000/mm3 (150,00 to 400,000/mm3) Basic Metabolic Profile: Creatinine 0.8 mg/dL (0.5 to 1.0 mg/dL) BUN 19 mg/dL (10 to 20 mg/dL) Potassium 2.9 mEq/L (3.5 to 5 mEq/L) ________________ Complete the following sentence by using the list of options: "The client is at risk for developing ___1___ due to ____2____." 1. dysrhythmias, renal failure, respiratory arrest 2. oxygen saturation level, BUN level, potassium level

"The client is at risk for developing dysrhythmias due to potassium level."

a nurse in an outpatient mental health clinic is assessing a client during a follow-up visit. November 1: Creatinine 1.3 mg/dL (0.5 to 1.0 mg/dL) BUN 28 mg/dL (10 to 20 mg/dL) Sodium 130 mEq/L (136 to 145 mEq/L) Potassium 3.3 mEq/L (3.5 to 5 mEq/L) December 1: Creatinine 0.8 mg/dL (0.5 to 1.0 mg/dL) BUN 22 mg/dL (10 to 20 mg/dL) Sodium 132 mEq/L (136 to 145 mEq/L) Potassium 3.7 mEq/L (3.5 to 5 mEq/L) ​ November 1: 12 Lead ECG: Sinus rhythm with frequent premature ventricular contractions (PVCs), rate 72/min December 1: 12 Lead ECG: Normal sinus rhythm, rate 82/min Nurse's Notes Has discontinued use of daily laxatives _____________ Select 5 assessment findings that indicate therapeutic response to treatment plan: BUN level Sodium level ECG report Overeating/purging cycle Coping skills Potassium level Creatinine level Laxative use

- coping skills - ECG report - potassium level - creatinine level - laxative use

A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa For each potential nursing action, click to specify if the action is indicated or contraindicated for the client: - Weigh the client two times daily. - Allow the client the choice of looking at the scale during weigh-ins. - Observe the client during meal times. - Use bargaining techniques if the client is resistance to the treatment plan. - Observe the client for 1 hr following meals. - Allow the client to schedule their own mealtime. - Limit the client's physical activity until an established weight gain has occurred. - Help the client to accept that perfection is unrealistic.

Indicated: - Allow the client the choice of looking at the scale during weigh-ins. - Observe the client during meal times. - Limit the client's physical activity until an established weight gain has occurred. - Observe the client for 1 hr following meals. - Help the client to accept that perfection is unrealistic. Contraindicated: - Weigh the client two times daily. - Use bargaining techniques if the client is resistance to the treatment plan. - Allow the client to schedule their own mealtime.

a nurse is admitting a client who has bulimia nervosa. which of the following client statements should the nurse expect a. I first started purging to reduce weight during my high school wrestling years b. my eating disorder had a sudden onset c. I began bingeing when I was 4 years old due to excessive hunger d. My bingeing episodes occur about 4 times a year

a. I first started purging to reduce weight during my high school wrestling years

a nurse is caring for a child whose parent is concerned about their eating behavior. which of the following behaviors is an indication of pica? a. child pretends to make pies out of mud and eats them b. the child spits food back up and then rechews it c. the child is losing weight as a result of picky eating d. the child will not eat anything except for peanut butter sandwiches & ice cream

a. child pretends to make pies out of mud and eats them *Pica involves eating items that are inedible or not typically thought of as food and that do not contain significant nutritional value, such as hair, dirt, clay, and paint chips.

a nurse is caring for a client who has bulimia nervosa. which of the following actions should the nurse plan to take during the working phase of the nurse-client relationship a. explore client triggers that lead to purging b. establish a contract for the nurse-client relationship c. perform a self-reflection activity d. explain confidentiality guidelines

a. explore client triggers that lead to purging

a nurse is planning an in-service for nursing staff about the mortality of eating disorders. which of the following information should the nurse include? a. one out of 10 people who has anorexia nervosa die within 10 years of the onset of the condition b. someone loses their life to an eating disorder every 20 min c. the risk of dying due to an eating disorder decreases over time d. clients diagnosed with an eating disorder are at higher risk for suicide than clients diagnosed with other mental illnesses

a. one out of 10 people who has anorexia nervosa die within 10 years of the onset of the condition

a nurse is planning to provide care to a client who has an eating disorder. which the following principles should the nurse use to guide their actions? a. therapeutic relationships are the cornerstone of psychiatric nursing care b. care is most effective when properly balanced between the client's and nurse's needs c. Following a universal care plan will provide the most continuity for clients diagnosed with an ED d. All eating disorders involve the same care needs

a. therapeutic relationships are the cornerstone of psychiatric nursing care

a nurse is discussing the characteristics of disordered eating with a group of clients who have binge-eating disorder. which of the following should the nurse include as a characteristic of disordered eating? a. intuitive eating habits b. obsessive thoughts about food c. determined by genetics d. participating in fad diets

b. obsessive thoughts about food *3 key indicators are behaviors, obsession, and functionality

a nurse is caring for a client who has binge-eating disorder. during which of the following phases of the nurse-client relationship should the nurse ask the client how they would like to be addressed? a. pre-interaction b. orientation c. working d. termination

b. orientation

a nurse is caring for a client who has anorexia nervosa, restricting subtype. which of the following findings should the nurse expect? a. swelling of the salivary gland b. patches of hair loss on the scalp c. socially outgoing personality d. gastric dilation

b. patches of hair loss on the scalp *manifestation of AN caused by malnutrition

a nurse is admitting a client who has an eating disorder. which of the following actions should the nurse plan to take during the pre-interaction phase of the nurse-client relationship a. perform a a comprehensive review of the client's clinical records b. perform a self-reflection activity c. identify goals for the client's plan of care d. prepare the clinical contract

b. perform a self-reflection activity *this will increase the nurse's awareness of any biases or personal feelings that might interfere with client care

a nurse is discussing the causes of eating disorders during a multidisciplinary health care team meeting. which of the following statements explains the relationship between culture and eating disorders. a. the cultural environment determines the type of eating disorder that develops b. the rate of eating disorders is higher in countries where being thin is valued c. research has found that there is a direct cause-effect relationship between culture and eating disorders d. eating disorders occur across all cultural groups at the same rate

b. the rate of eating disorders is higher in countries where being thin is valued

a nurse is caring for a client who has an eating disorder. which of the following client statements should the nurse expect? a. I realized the moment when my eating problems turned into an eating disorder b. I can simply stop my disordered eating habits c. I feel imprisoned by the rules of my eating disorder d. I knew when I started dieting that I was at risk for developing an eating disorder

c. I feel imprisoned by the rules of my eating disorder

a nurse is caring for a client who has an eating disorder. which of the following client statements should the nurse expect about an upcoming holiday party? a. I look forward to the festive foods served during the holidays b. I will have fun socializing during the party, even if I do not like the holiday food c. I'll try to come up with excuses for why I cannot make it to the holiday party d. Eating at a holiday party is comfortable since it is normal to celebrate with food

c. I'll try to come up with excuses for why I cannot make it to the holiday party *Clients who have an eating disorder typically feel apprehension and fear at the prospect of attending social events involving food

a nurse invites a client on the eating disorder unit to a special morning activity as a reward for consuming all their breakfast. the nurse should identify this an example of which of the following treatment models? a. CBT b. humanistic therapy c. behavioral therapy d. interpersonal therapy

c. behavioral therapy *use of reinforcements and a reward system to encourage treatment-enhancing behaviors is an example of behavioral therapy

a nurse is providing teaching about eating disorders with a group of clients. which of the following statements should the nurse include a. about 1% of people who have an ED die due to their condition b. people who have an ED readily seek treatment c. eating disorders affect about 30 million people in the united states d. an eating disorder is defined as an extreme diet

c. eating disorders affect about 30 million people in the united states

a nurse is contributing to the plan of care for a client who has bulimia nervosa and borderline personality disorder. which of the following should the nurse recommend including in the plan of care? a. allow the client to create their own plan of care b. rotate client assignments to different nurses every shift to decrease burnout c. schedule weekly staff meetings to discuss care planning d. encourage clients to select their own nursing staff each shift to promote care satisfaction

c. schedule weekly staff meetings to discuss care planning *Weekly team meetings will support continuity of care and help manage challenging situations involved with caring for the client

a nurse is teaching a client who has an eating disorder about how to restructure their thoughts related to body image. this is an example of which of the following treatment modalities

cognitive behavioral therapy

a nurse is providing teaching to the family of a child who has bulimia nervosa. the nurse should include that which of the following models explains that eating disorders are influenced by both nature and nurture? a. health belief model b. holistic care model c. eclectic model d. diathesis-stress model

d. Diathesis-stress model

a nurse is caring for a client who has binge-eating disorder. which of the following client statements should the nurse expect? a. If I weren't so hungry, I wouldn't binge b. I started bingeing when I was 10 years old c. I have a group of friends I like to binge with. d. After I binge, I feel so disgusted with myself

d. after I binge, I feel so disgusted with myself *binge episodes usually associated with emotional distress and feelings of self-loating

a nurse at a community mental health center is caring for a client who has binge-eating disorder. which of the following should the nurse identify as a manifestation of this condition a. binge-purge episodes b. decreased body weight c. client openly discusses the disorder d. feelings of powerlessness

d. feelings of powerlessness *characterized by binge episodes and persons diagnosed with this condition often feel powerlessness, shame, and embarrassment

a nurse is caring for a client who has anorexia nervosa. which of the following personality traits should the nurse expect the client to exhibit? a. carelessness b. hostility c. arrogance d. perfectionism

d. perfectionism *tend to be perfectionistic and ritualistic

a nurse is reviewing the laboratory results of a client who has bulimia nervosa. which of the following results should the nurse expect? a. elevated potassium levels b. elevated thyroid hormone level c. elevated sodium levels d. elevated pancreatic enzyme levels

elevated pancreatic enzyme levels