RN Eating Disorders Assessment

A nurse is caring for a client who has binge-eating disorder. Which of the following client statements should the nurse expect?

"After I binge, I feel so disgusted with myself."

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?

****Perform a self-reflection activity.

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?

*I'II try to come up with excuses for why I cannot make it to the holiday party."

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?

Schedule weekly staff meetings to discuss care planning.

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?

Diathesis stress model

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?

Explore client triggers that lead to purging.

A nurse is providing teaching about eating disorders with a group of clients. Which of the following statements should the nurse include?

I "Eating disorders affect about 30 million people in the United States."

A nurse is admitting a client who has bulimia nervosa. Which of the following client statements should the nurse expect?

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?

The child pretends to make pies out of mud and eats them.

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?

Obsessive thoughts about food

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?

One out of 10 people who have anorexia nervosa die within 10 years of the onset of the condition.

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?

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

A nurse is planning to provide care to a client who has an eating disorder. Which of the following principles should the nurse use to guide their actions?

Therapeutic relationships are the cornerstone of psychiatric nursing care.

A nurse in an outpatient mental health clinic is assessing a client during a follow-up visit. Select the 5 assessment findings that indicate a therapeutic response to the treatment plan.

When analyzing cues, the nurse should identify that the findings of increased coping skills, an ECG report that reflects a normal sinus rhythm with no ectopic beats, a potassium and creatinine level that are now within the expected reference ranges, and cessation of laxative use are indications that the client is having a therapeutic response to the treatment plan.

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?

behavioral therapy

A nurse is reviewing the laboratory results of a client who has bulimia nervosa. Which of the following results should the nurse expect?

elevated pancreatic enzyme levels

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?

feelings of powerlessness

A nurse is caring for a client who has an eating disorder. Which of the following client statements should the nurse expect?

i feel imprisoned by the rules of my eating disorder

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?

orientation

A nurse is caring for a client who has anorexia nervosa, restricting subtype. Which of the following findings should the nurse expect?

patches of hair loos on the scalp.

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?

perfectionism R: clients who have anorexia nervosa tend to be perfectionists and ritualistic

A nurse in an outpatient mental health clinic is caring for a client who has bulimia nervosa.

rationale: When analyzing cues, the nurse should identify that the findings of increased coping skills, an ECG report that reflects a normal sinus rhythm with no ectopic beats, a potassium and creatinine level that are now within the expected reference ranges, and cessation of laxative use are indications that the client is having a therapeutic response to the treatment plan. -potassium level -ecg report -coping skills -creatinine level -laxative use

A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa.

rationale: When generating solutions and planning care for the client, the nurse should -allow the client the choice of looking at the scale during weigh-ins because weigh-ins can be overly stressful for clients who are in the early stages of treatment for an eating disorder. The nurse should also observe the client during mealtime to prevent the client from secretly disposing of food, limit the client's physical activity until an established weight gain has occurred, observe the client for 1 hr following meals, and help the client to accept that perfection is unrealistic.