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- 1. Open EndedA nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (SATA) A. "What is your relationship like with your family?" B. "Why do you want to lose weight?" "Would you describe your current eating habits?" C. "At what weight do you believe you will look better?" D. "Can you discuss your feelings about your appearance?"
- 2. Open EndedA nurse is caring for an adolescent pt who has anorexia nervosa with recent rapid weight loss and a current weight loss and a current weight loss and a current weight of 90lbs. Which of the following statements indicates the pt is experiencing the cognitive distortion of catastrophizing?" A. "Life isn't worth living if I gain weight." B. "Don't pretend like you don't know how fat I am." C. "If I could be skinny, I know I'd be popular." D. "When I look in the mirror, I see myself as obese
- 3. Open EndedA nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? (SATA) A. Amenorrhea B. Hypokalemia C. Mottling of the skin D. Slightly elevated body weight E. Presence of Lanugo on the face
- 4. Open EndedA nurse on an acute care unit is planning care for a pt who has anorexia nervosa with binge-eating and purging behavior. Which of the following nursing actions should the nurse include in the pts plan of care? A. Allow the client to select preferred meal times B. Establish consequences for purging behavior C. Provide the pt with a high fat diet at the start of treatment D. Implement one-to-one observation during meal times
- 5. Open EndedA nurse is caring for a pt who has bulimia nervosa and has stopped purging behavior. The pt tells the nurse that she is afraid she is going to gain weight. Which of the following response should the nurse make? A. "Many pts are concerned about their weight. However, the dietitian will ensure that you don't get too many calories in your diet." B. "Instead of worrying about your weight, try to focus on other problems at this time." C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments." D. "You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you."
- 6. Open EndedThe nurse is preparing to perform an admission assessment on a pt with a diagnosis of bulimia nervosa. Which assessment findings should the nurse expect to note? (select all that apply) A. Dental Decay B. Moist, oily skin C. Loss of tooth enamel D. Electrolyte Imbalances E. Body weight well below ideal range
- 7. Open EndedThe nurse is caring for a female pt who was admitted to the mental health unit recently for anorexia nervosa. The nurse enters the pt's room and notes that the pt is engaged in rigorous push-ups. Which nursing action is Most Appropriate? A. Interrupt the pt and weigh her immediately B. Interrupt the pt and offer to take her for a walk C. Allow the pt to complete her exercise program D. Tell the pt that she is not allowed to exercise rigorously
- 8. Open EndedA pt with a diagnosis of anorexia nervosa, who is in a state of starvation, is in a 2-bed room. A newly admitted pt will be assigned to this pt's room. Which pt would be the Best choice as a roommate for the pt with anorexia nervosa? A. pt with pneumonia B. pt undergoing diagnostic tests C. pt who thrives on managing others D. pt who could benefit from the pt's assistance at mealtime
- 9. Open EndedA pt with anorexia nervosa is a member of a predischarge support group. The pt verbalizes that she would like to buy some new clothes, but her finances are limited. Group members have brought some used clothes to the pt to replace the pt;s old clothes. The pt believes that the new clothes are much too tight and has reduced her calorie intake to 800 calories daily. How should the nurse evaluate behavior? A. Normal Behavior B. Evidence of the pt's disturbed body image C. Regression as the pt is moving toward the community D. Indicative of the pt's ambivalence about hospital discharge
- 10. Open EndedNurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to: A. avoid shopping for large amounts of food B. control eating impulses C. identify anxiety-causing situations D. eat only three meals a day
- 11. Open EndedDuring postprandial monitoring, a female client with bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my goal is to do it twice." What is the nurse's best response? A. "I trust you not to purge." B. "How are you purging and when do you do it?" C. "Don't worry. I won't allow you to purge today." D. "I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat."
- 12. Open EndedFor a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority? A. The client will establish adequate daily nutritional intake B. The client will make a contract with the nurse that sets a target weight C. The client will identify self-perceptions about body size as unrealistic D. The client will verbalize the possible physiological consequences of self-starvation
- 13. Open EndedFor a female client with anorexia nervosa, nurse Rose plans to include the parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa? A. They tend to overprotect their children B. They usually have a history of substance abuse C. They maintain emotional distance from their children D. They alternate between loving and rejecting their children
- 14. Open EndedNurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary. Which intervention is also important? A. Fill out the client's menu and make sure she eats at least half of what is on her tray. B. Let the client eat her meals in private. Then engage her in social activities for at least 2 hours after each meal C. Let the client choose her own food. If she eats everything she orders, then stay with her for 1 hour after each meal D. Let the client eat food brought in by the family if she chooses, but she should keep a strict calorie count.
- 15. Open EndedA 24-year old client with anorexia nervosa tells the nurse, "When I look in the mirror, I hate what I see. I look so fat and ugly." Which strategy should the nurse use to deal with the client's distorted perceptions and feelings? A. Avoid discussing the client's perceptions and feelings B. Focus discussions on food and weight C. Avoid discussing unrealistic cultural standards regarding weight D. Provide objective data and feedback regarding the client's weight and attractiveness
- 16. Open EndedNurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Restrict visits with the family until the client begins to eat B. Provide privacy during meals C. Set up a strict eating plan for the client D. Encourage the client to exercise, which will reduce her anxiety
- 17. Open EndedA female client with anorexia nervosa describes herself as "a whale." However, the nurse's assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg). Considering the client's unrealistic body image, which intervention should the nurse Angel be included in the plan of care? A. Asking the client to compare her figure with magazine photographs of women her age B. Assigning the client to group therapy in which participants provide realistic feedback about her weight C. Confronting the client about her actual appearance during one-on-one sessions, scheduled during each shift D. Telling the client of the nurse's concern for her health and desire to help her make decisions to keep her healthy
- 18. Open EndedA 14-year-old client is brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa? A. "I like the way I look. I just need to keep my weight down because I'm a cheerleader." B. "I don't like the food my mother cooks. I eat plenty of fast food when I'm out with my friends." C. "I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls." D. "I do diet around my periods; otherwise, I just get so bloated."
- 19. Open EndedNurse Helen is assigned to care for a client with anorexia nervosa. Initially, which nursing intervention is most appropriate for this client? A. Providing one-on-one supervision during meals and for 1 hour afterward B. Letting the client eat with other clients to create a normal mealtime atmosphere C. Trying to persuade the client to eat and thus restore nutritional balance D. Giving the client as much time to eat as desired
- 20. Open EndedNurse Penny is aware that the following medical conditions is commonly found in clients with bulimia nervosa? A. Allergies B. Cancer C. Diabetes mellitus D. Hepatitis A
- 21. Open EndedA female client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client's physical health, nurse Tair should plan to: A. severely restrict the client's physical activities B. weigh the client daily, after the evening meal C. monitor vital signs, serum electrolyte levels, and acid-base balance D. instruct the client to keep an accurate record of food and fluid intake
- 22. Open EndedA client whose husband just left her has a recurrence of anorexia nervosa. Nurse Vic caring for her realizes that this exacerbation of anorexia nervosa results from the client's effort to: A. manipulate her husband B. gain control of one part of her life C. commit suicide D. live up to her mother's expectations
- 23. Open EndedDuring an admission interview, a client with anorexia nervosa complains of feeling cold all the time and asks the nurse why. Which of the following is the most appropriate response by the nurse? A. "You probably aren't dressing warmly enough." B. "Let me take your temperature." C. "There is a loss of subcutaneous fat." D. "You might be getting a cold."
- 24. Open EndedThe nurse is assessing a 19 year-old female client with bulimia. Which of the following laboratory reports would the nurse anticipate? A. Increased sodium retention B. Decreased albumin C. Increased serum glucose D. Decreased potassium
- 25. Open EndedThe nurse is assessing a client with a body mass index of 35. The nurse would suspect this client to be at risk for which of the following conditions? Select all that apply. A. Rheumatoid arthritis. B. Hypoglycemia. C. Respiratory insufficiency. D. Angina. E. Hyperlipidemia.
- 26. Open EndedA client on an in-patient psychiatric unit has been diagnosed with bulimia nervosa. The client states, "I'm going to the bathroom and will be back in a few minutes." Which nursing response is most appropriate? A. "Let me know when you get back to the day room." B. "I will accompany you to the bathroom." C. "I'll stand outside your door to give you privacy." D. "Thanks for checking in."
- 27. Open EndedWhat clinical manifestations will you see upon a physical assessment with a female pt with anorexia nervosa?
- 28. Open EndedWhat gender are you more likely to see with the diagnosis of Anorexia Nervosa?
- 29. Open EndedWhy are we seeing more cases of Anorexia Nervosa now than years before for males and females?
- 30. Open EndedWhat is the common appearance for a Bulimia pt? (weight)
- 31. Open EndedWhat is the "cylcle" for Bulimia pt's?
- 32. Open EndedWho is more likely to use laxatives, Anorexia pt or Bulimia pt?
- 33. Open EndedWho is the most common for you to see diagnosed with Bulimia? A. 35 yr old nursing student B. 10 yr old who likes to play video games C. 17 yr old who is a wrestler D. 54 yr old opera singer
- 34. Open EndedWho will usually identify a diagnosis of bulimia in a pt first? Why?
- 35. Open EndedWhat is it called when a pt has calluses knuckles or back of hand d/t repeated induced-vomiting?
- 36. Open EndedWhich hand will you see Russell's Sign on?
- 37. Open EndedName so complication that you will have with Bulimia.
- 38. Open EndedExplain the main difference between Bulimia and Binge Eating Disorder?
- 39. Open EndedWhen a bulimia pt is eating dinner, what will the nurses responsibility be after the meal?
- 40. Open EndedWho is the best choice to work with these types of patients?
- 41. Open EndedIF you believe that the pt is not telling you the truth about their actions, who else could you as the nurse ask?
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