Deck 18: Eating Disorders

Question 1

Rob, a 15-year-old, has lost 30 pounds in 3 months. Rob is 6 feet tall and weighs 110 pounds. He tells you that he is fat: "Just look at how puffy my feet and arms still are. I have to get rid of the fat there." The nursing diagnosis based on this information is:
1)Body image disturbance: distorted perception.
2)Knowledge deficit: nutritional requirements.
3)Altered nutrition, more than body requirements.
4)Potential for suicide.

Answer 1

1

Question 2

Of the following observations, which is the most objective measure of improvement in your patient with anorexia nervosa?
1)She eats all of her food on the tray at lunch.
2)She gains 2 pounds from last week.
3)She weighs herself daily.
4)She tells you her friends are bringing her special foods.

Answer 2

2

Question 3

Your patient with anorexia nervosa is in the bathroom running in place at a rapid rate. What is the most likely reason for this behavior?
1)She recently ate and wants to work off the calories to avoid gaining weight.
2)She wants her heart rate increased so you will think she is having heart problems.
3)She is a regular exerciser for good health.
4)She is depressed and hopes this will make her feel more alert.

Answer 3

1

Question 4

Bariatric surgery is now an accepted treatment for people with which of the following?
1)Poor body image
2)BMI over 40
3)Untreatable bulimia
4)BMI of 25 with diabetes

Question 5

Your first goal in the care of a patient with an eating disorder is:
1)Reassure the patient that he or she is attractive.
2)Teach the patient nutrition requirements for his or her age and height.
3)Establish a trusting relationship with the patient.
4)Ask the patient to explain why he or she will not eat.

Question 6

Mark is a male model who has been admitted for dehydration. Mark tells you, "I can eat anything I want and I don't gain weight. Isn't that great?" After dinner you hear a noise and you observe Mark vomiting in the bathroom. You document this and suspect:
1)Food poisoning.
2)Anorexia nervosa.
3)Bulimia nervosa.
4)Bipolar disorder.

Question 7

Which of the following would NOT be a potential characteristic of a patient with anorexia nervosa?
1)Male
2)Slightly overweight
3)Anxious
4)Perfectionistic

Question 8

Your patient with anorexia nervosa is in the bathroom running in place at a rapid rate. How should you respond to the patient?
1)Encourage her to finish her exercise session.
2)Interrupt her and have her weighed immediately.
3)Tell her she is not allowed to exercise.
4)Interrupt her and encourage her to take a walk with you.

Question 9

Morbid obesity is defined as:
1)Body weight over 200 pounds no matter how tall the person is.
2)Body mass index (BMI) over 30.
3)Whatever is determined by the individual's physician.

Question 10

An appropriate goal for a patient who is on behavior modification for anorexia nervosa is:
1)Gain 2 pounds per week.
2)Eat all food at each meal.
3)Discuss the meaning of food to the patient for 1 hour every day.
4)Gain as much weight as possible in the first month of treatment to prevent serious complications of starvation.

Question 11

Which statement is most true about anorexia nervosa?
1)It is only found in females.
2)A major symptom is loss of appetite.
3)Overuse of laxatives is a common symptom.
4)Onset occurs in young adults.

Question 12

Nurses know that the main difference between anorexia nervosa and bulimia nervosa is that the patient with bulimia nervosa:
1)Is morbidly obese.
2)Eats and purges in secret to keep the problem hidden.
3)Gets pleasure from being able to control the urge to eat.
4)Believes mealtime is stressful.

Question 13

Nurses realize the importance of family relationships in the life of a patient with anorexia nervosa. As a nurse, you would expect which of the following attitudes or behaviors in the parents of an adolescent with anorexia nervosa?
1)Indifferent and inattentive
2)Permissive and providing loose boundaries
3)Immature and concerned with themselves
4)Perfectionistic and overly demanding

Question 14

As a nurse, you understand that anorexia nervosa in adolescents may be related to:
1)Depression.
2)Fear of moving into adulthood.
3)Family history of alcoholism.
4)A desire to die.

Question 15

In addition to gastrointestinal disorders associated with eating disorders, nurses must be aware of and assess for other medical complications including:
1)Electrolyte imbalances.
2)Cardiac irregularities.
3)Dehydration.
4)All of the above.