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Eating Disorders

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Question 1
Free
Multiple Choice

Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. She wears layered, loose clothing and now has amenorrhea. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?

Choose correct answer/s
A

Binge eating disorder

B

Anorexia nervosa

C

Bulimia nervosa

D

Pica

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Question 2
Free
Multiple Choice

Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?

Choose correct answer/s
A

Weight, muscle, and fat are congruent with height, frame, age, and sex.

B

Calorie intake is within the required parameters of the treatment plan.

C

Weight reaches the established normal range for the patient.

D

The patient expresses satisfaction with body appearance.

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Question 3
Free
Multiple Choice

A patient who was referred to the eating disorders clinic has lost 35 pounds in the past 3 months. To assess the patient's oral intake, the nurse should ask:

Choose correct answer/s
A

"Do you often feel fat?"

B

"Who plans the family meals?"

C

"What do you eat in a typical day?"

D

"What do you think about your present weight?"

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Question 4
Free
Multiple Choice

A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight. A nurse asks, "Describe what you think about your present weight and how you look." Which response by the patient is most consistent with the diagnosis?

Choose correct answer/s
A

"I am fat and ugly."

B

"What I think about myself is my business."

C

"I am grossly underweight, but that's what I want."

D

"I am a few pounds overweight, but I can live with it."

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Question 5
Free
Multiple Choice

A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and has lost 25% of body weight. The patient's current serum potassium is 2.7 mg/dl. Which nursing diagnosis is most applicable?

Choose correct answer/s
A

Adult failure to thrive, related to abuse of laxatives as evidenced by electrolyte imbalances and weight loss

B

Disturbed energy field, related to physical exertion in excess of energy produced through caloric intake as evidenced by weight loss and hyperkalemia

C

Ineffective health maintenance, related to self-induced vomiting as evidenced by swollen parotid glands and hyperkalemia

D

Imbalanced nutrition: less than body requirements, related to malnutrition as evidenced by loss of 25% of body weight and hypokalemia

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Question 6
Multiple Choice

Outpatient treatment is planned for a patient diagnosed with anorexia nervosa. Select the most important outcome related to the nursing diagnosis: imbalanced nutrition: less than body requirements. Within 1 week, the patient will:

Choose correct answer/s
A
weigh self accurately using balanced scales.
B
limit exercise to less than 2 hours daily.
C
select clothing that fits properly.
D
gain 1 to 2 pounds.
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Question 7
Multiple Choice

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight?

Choose correct answer/s
A
Assess for depression and anxiety.
B
Observe for adverse effects of refeeding.
C
Communicate empathy for the patient's feelings.
D
Help the patient balance energy expenditure and caloric intake.
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Question 8
Multiple Choice

A patient diagnosed with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures designed to produce a specified weekly weight gain?

Choose correct answer/s
A
Because severe anxiety concerning eating is expected, objective and subjective data must be routinely collected.
B
Patient involvement in decision making increases a sense of control and promotes compliance with the treatment.
C
A team approach to planning the diet ensures that physical and emotional needs of the patient are met.
D
Because of increased risk for physical problems with refeeding, obtaining patient permission is required.
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Question 9
Multiple Choice

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "Monitor for complications of refeeding." Which body system should a nurse closely monitor for dysfunction?

Choose correct answer/s
A
Renal
B
Endocrine
C
Central nervous
D
Cardiovascular
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Question 10
Multiple Choice

A psychiatric clinical nurse specialist uses cognitive therapy techniques with a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy?

Choose correct answer/s
A
"What are your feelings about not eating the food that you prepare?"
B
"You seem to feel much better about yourself when you eat something."
C
"It must be difficult to talk about private matters to someone you just met."
D
"Being thin does not seem to solve your problems. You are thin now but still unhappy."
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Question 11
Multiple Choice

An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient to:

Choose correct answer/s
A
eat a small meal after purging.
B
avoid skipping meals or restricting food.
C
concentrate oral intake after 4 PM daily.
D
understand the value of reading journal entries aloud to others.
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Question 12
Multiple Choice

What behavior by a nurse caring for a patient diagnosed with an eating disorder indicates the nurse needs supervision?

Choose correct answer/s
A
The nurse's comments are compassionate and nonjudgmental.
B
The nurse uses an authoritarian manner when interacting with the patient.
C
The nurse teaches the patient to recognize signs of increasing anxiety and ways to intervene.
D
The nurse refers the patient to a self-help group for individuals with eating disorders.
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Question 13
Multiple Choice

A nursing diagnosis for a patient diagnosed with bulimia nervosa is: ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is, "Within 2 weeks the patient will:

Choose correct answer/s
A
appropriately express angry feelings."
B
verbalize two positive things about self."
C
verbalize the importance of eating a balanced diet."
D
identify two alternative methods of coping with loneliness."
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Question 14
Multiple Choice

Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?

Choose correct answer/s
A
Assist the patient to identify triggers to binge eating.
B
Provide corrective consequences for weight loss.
C
Explore patient needs for health teaching.
D
Assess for signs of impulsive eating.
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Question 15
Multiple Choice

One bed is available on the inpatient eating disorders unit. Which patient should be admitted? The patient whose weight dropped from:

Choose correct answer/s
A
150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg.
B
120 to 90 pounds over a 3-month period. Vital signs: temperature, 36° C; pulse, 50 beats/min; blood pressure, 70/50 mm Hg.
C
110 to 70 pounds over a 4-month period. Vital signs: temperature, 36.5° C; pulse, 60 beats/min; blood pressure, 80/66 mm Hg.
D
90 to 78 pounds over a 5-month period. Vital signs: temperature, 36.7° C; pulse, 62 beats/min; blood pressure, 74/48 mm Hg.
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Question 16
Multiple Choice

While providing health teaching for a patient diagnosed with bulimia nervosa, a nurse should emphasize information about:

Choose correct answer/s
A
self-monitoring of daily food and fluid intake.
B
establishing the desired daily weight gain.
C
recognizing symptoms of hypokalemia.
D
self-esteem maintenance.
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Question 17
Multiple Choice

As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient's body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet, 4 inches tall. Which condition should be documented?

Choose correct answer/s
A
Amenorrhea
B
Alopecia
C
Lanugo
D
Stupor
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Question 18
Multiple Choice

A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine downy hair covering the body. The patient weighs 70 pounds; height is 5 feet, 4 inches. The patient is quiet and says only, "I won't eat until I look thin." What is the priority initial nursing diagnosis?

Choose correct answer/s
A
Anxiety, related to fear of weight gain
B
Disturbed body image, related to weight loss
C
Ineffective coping, related to lack of conflict resolution skills
D
Imbalanced nutrition: less than body requirements, related to self-starvation
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Question 19
Multiple Choice

A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:

Choose correct answer/s
A
maintaining patients' concentration and attention.
B
shifting the patients' focus from food to psychotherapy.
C
focusing on weight control mechanisms and food preparation.
D
processing the heightened anxiety associated with eating.
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Question 20
Multiple Choice

Physical assessment of a patient diagnosed with bulimia nervosa often reveals:

Choose correct answer/s
A
prominent parotid glands.
B
peripheral edema.
C
thin, brittle hair.
D
amenorrhea.
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