EATING DISORDERS TEST #3

EATING DISORDERS TEST #3

Assessment

Assessment

Created by

Shawn Saunders

others

Hard

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41 questions

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1.

OPEN ENDED

30 sec • 1 pt

A 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?"

Answer explanation

A: CORRECT *A nursing history of a pt who has anorexia nervosa should include an assessment of family and interpersonal relationships C. CORRECT *Nursing history of a pt who has anorexia nervosa should include an assessment of the pt's current eating habits E. CORRECT *A nursing history of a pt who has anorexia nervosa should include include an assessment of the pt's perception of the issue

2.

OPEN ENDED

30 sec • 1 pt

A 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

Answer explanation

A: CORRECT *This statement reflects the cognitive distortion of catastrophizing b/c the pt's perception of her appearance or situation is much worse than her current condition.

3.

OPEN ENDED

30 sec • 1 pt

A 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

Answer explanation

B: CORRECT *Hypokalemia is an expected finding of purging-type bulimia nervosa D: CORRECT *Most pt's who have bulimia nervosa maintain a weight within a normal range or slightly higher

4.

OPEN ENDED

30 sec • 1 pt

A 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

Answer explanation

D: CORRECT *The nurse should closely monitor the pt during and after meals to prevent purging

5.

OPEN ENDED

30 sec • 1 pt

A 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."

Answer explanation

C: CORRECT *This statement acknowledges the pt's concern and then focuses the conversation on the pt's accomplishments which can promote pt self-esteem and self-image

6.

OPEN ENDED

30 sec • 1 pt

The 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

Answer explanation

A. CORRECT *Pt will exhibit dental decay and loss of tooth enamel if pt has been inducing vomiting C. CORRECT *Pt will exhibit dental decay and loss of tooth enamel if pt has been inducing vomiting D. CORRECT *Electrolyte imbalances are present

7.

OPEN ENDED

30 sec • 1 pt

The 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

Answer explanation

B. CORRECT *Pt's with anorexia frequently are preoccupied with rigorous exercise

8.

OPEN ENDED

30 sec • 1 pt

A 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

Answer explanation

B. pt undergoing diagnostic tests *The pt with anorexia nervosa is most likely experiencing hematological complications, such as leukopenia. This is why a pt undergoing diagnostic testing is acceptable

9.

OPEN ENDED

30 sec • 1 pt

A 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

Answer explanation

B. CORRECT *Evidence of the pt's disturbed body image

10.

OPEN ENDED

30 sec • 1 pt

Nurse 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

Answer explanation

C. CORRECT *Bulimic behavior is generally a maladaptive coping response to stress and underlying issues. The client must identify anxiety-causing situations that stimulate the bulimic behavior and then learn new ways of coping with the anxiety. Controlling shopping for large amounts of food isn't a goal early in treatment. Managing eating impulses and replacing them with adaptive coping mechanisms can be integrated into the plan of care after initially addressing stress and underlying issues. Eating three meals per day isn't a realistic goal early in treatment.

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