Deck 70: Caring for Clients With Eating Disorders

Question 1

People with bulimia have a compulsion to eat as a result of an increased sensitivity to which neurotransmitter?

A) Dopamine
B) Norepinephrine
C) Serotonin
D) Acetylcholine

Answer 1

Norepinephrine

Question 2

The purpose of taking an SSRI, such as fluoxetine (Prozac), for an overeating disorder, is to:

A) Decrease depression.
B) Increase activity tolerance.
C) Increase serotonin levels to increase satiety.
D) Decrease serotonin levels to increase satiety.

Answer 2

Increase serotonin levels to increase satiety.

Question 3

The substance leptin is believed to have which of the following actions?

A) Increases appetite
B) Decreases appetite
C) Increases sedation
D) Causes excitability

Answer 3

Decreases appetite

Question 4

A healthy BMI is in the range of:

A) 7 to 14.
B) 15 to 18.
C) 19 to 25.
D) 25 to 32.

Question 5

A 15-year-old client is being seen in the health clinic for bulimia nervosa. Which of the following is a complication of bulimia nervosa?

A) Diarrhea
B) Constipation
C) Low urine output
D) Altered level of consciousness

Question 6

A teenage client has been diagnosed with anorexia nervosa. Which of the following is a complication of anorexia nervosa?

A) Damaged tooth enamel
B) Fluid and electrolyte imbalance
C) Premature osteoporosis
D) Constipation

Question 7

A client has been diagnosed with bulimia nervosa. Bulimia nervosa is characterized by an abnormal eating pattern for at least which timeframe?

A) 1 month
B) 2 months
C) 4 months
D) 6 months

Question 8

The nurse is assessing a client diagnosed with anorexia. When taking the clients vital signs, the nurse would expect:

A) Hypertension.
B) Irregular respirations.
C) Tachycardia.
D) Hypotension.

Question 9

Which of the following neurochemicals may be increased in the client diagnosed with anorexia nervosa?

A) GABA
B) Norepinephrine
C) Dopamine
D) Serotonin

Question 10

When comparing anorexia nervosa and bulimia, clients with bulimia:

A) Do not recognize eating behaviors as abnormal.
B) Are underweight.
C) Are younger at age of onset.
D) Are ashamed of habitually binging and purging.

Question 11

A client is being assessed for anorexia. A BMI of which of the following would be indicative of anorexia?

A) 18.5 to 24.9
B) less than or equal to 16
C) 30 to 34.9
D) greater than or equal to 40

Question 12

What is the average number of calories an adult should consume per day to maintain a healthy weight?

A) 500 to 1250
B) 900 to 1500
C) 1500 to 2500
D) 3000 to 4000

Question 13

A sign of severe malnutrition in the anorexic client may be:

A) Chronic infections.
B) Hypertension.
C) Tachycardia.
D) Elevated body temperature.

Question 14

Clients with eating disorders frequently use methods to avoid eating or to prevent weight gain. Which documentation most accurately describes the behavior of a client with an eating disorder?

A) Client observed to move food around the plate, arranged in various patterns.
B) Client stares frequently into space and has to be prompted to participate in the mealtime conversation.
C) Client talks about her food likes and dislikes and reminisces about holiday foods.
D) Client states that she is depressed and does not feel like eating right now.

Question 15

A nurse suspects that a 17-year-old client has an eating disorder. When assessing this client, which of the following is the most important for the nurse to ask this client?

A) "Have you ever made yourself vomit?"
B) "Do you lie about what you eat?'
C) "Does the fear of being fat interfere with your daily activities?"
D) "Do you feel guilty when you eat?"

Question 16

A client has been diagnosed with bulimia nervosa. Important assessments include all of the following except:

A) Electrolyte imbalance.
B) Dehydration.
C) Chronic sore throat.
D) Pulmonary embolism.

Question 17

The nurse is preparing a teaching plan for a client diagnosed with bulimia nervosa. Which of the following would be included in the teaching plan?

A) Change eating locations frequently.
B) Consume no more than 2,000 to 3,000 calories per day.
C) Eat alone to concentrate on food intake.
D) Consume high calorie foods.

Question 18

Which of the following is a true statement regarding anorexia nervosa?

A) More men are affected with anorexia nervosa.
B) Increased serotonin levels contribute to overeating.
C) Clients consume 600-900 calories per day.
D) Due to the psychological impact, clients with anorexia do not feel hungry.

Question 19

The term that best describes bulimarexia is:

A) Binging and purging.
B) Food restriction and purging.
C) Purging only.
D) Food restriction only.

Question 20

The nurse is differentiating between anorexia and bulimia. Which of the following clinical manifestations would correlate with anorexia?

A) Frequent weight fluctuations
B) Amenorrhea
C) Swelling of the parotid glands
D) Irregular menses

Question 21

Eating disorders affect seven million women and one million men of all ethnicities and socioeconomic levels. All of the following are considered eating disorders except:

A) Bulimia nervosa
B) Self-starvation
C) Anorexia nervosa
D) Obesity

Question 22

Increases in which neurotransmitter contribute to restrictive eating?

A) Serotonin
B) Dopamine
C) Norepinephrine
D) Tryptophan

Question 23

Which substance is believed to suppress appetite-stimulating chemicals?

A) Orexin B
B) Orexin A
C) Leptin
D) Tryptophan

Question 24

Which of the following diagnostic findings would be consistent with bulimia nervosa?

A) Osteopenia
B) Low sodium level
C) Overstretched esophagus
D) BMI of 16 or less

Question 25

Which of the following electrolyte imbalances is consistent with anorexia nervosa?

A) Hypokalemia
B) Increased ferritin level
C) Hypernatremia
D) Increased albumin levels