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:

Accepted Answer

Rob's perception of being fat despite significant weight loss and being underweight for his height indicates a distorted perception of his body image, aligning with the diagnosis of body image disturbance.

Question 2

Of the following observations, which is the most objective measure of improvement in your patient with anorexia nervosa?

Accepted Answer

Gaining weight is an objective measure of improvement in anorexia nervosa, as it is quantifiable and directly related to the primary concern of the disorder, which is significant weight loss or failure to gain weight in growing adolescents.

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?

Accepted Answer

Patients with anorexia nervosa often engage in excessive exercise as a means to control weight and compensate for caloric intake, reflecting their intense fear of gaining weight and a distorted body image.

Question 4

Bariatric surgery is now an accepted treatment for people with which of the following?

Accepted Answer

Bariatric surgery is typically recommended for individuals with a BMI over 40, or over 35 with obesity-related health conditions, as it is considered a treatment for severe obesity.

Question 5

Your first goal in the care of a patient with an eating disorder is:

Accepted Answer

Establishing a trusting relationship with the patient is crucial in the care of someone with an eating disorder. This foundational trust is essential for effective communication and for the patient to feel safe and supported in discussing their experiences and challenges.

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:

Accepted Answer

Bulimia nervosa is characterized by episodes of binge eating followed by purging behaviors, such as vomiting, to prevent weight gain. Mark's comment about being able to eat anything without gaining weight, followed by the observed behavior of vomiting after eating, suggests bulimia nervosa.

Question 7

Which of the following would NOT be a potential characteristic of a patient with anorexia nervosa?

Accepted Answer

Anorexia nervosa is characterized by an intense fear of gaining weight and a distorted body image that leads to restricted food intake and significant weight loss. Patients with anorexia nervosa are typically underweight, not slightly overweight.

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?

Accepted Answer

Interrupting her and encouraging her to take a walk with you is a supportive approach that addresses the behavior without being confrontational. It provides an opportunity to engage with the patient and redirect her activity in a healthier way.

Question 9

Morbid obesity is defined as:

Accepted Answer

The answer of Morbid obesity is defined as:
...

Question 10

An appropriate goal for a patient who is on behavior modification for anorexia nervosa is:

Accepted Answer

Gaining a specific, moderate amount of weight per week, such as 2 pounds, is a measurable and realistic goal for a patient with anorexia nervosa. It focuses on gradual, healthy weight gain, which is crucial for recovery.

Question 11

Which statement is most true about anorexia nervosa?

Accepted Answer

Overuse of laxatives is a common symptom among individuals with anorexia nervosa as part of their efforts to lose weight.

Question 12

Nurses know that the main difference between anorexia nervosa and bulimia nervosa is that the patient with bulimia nervosa:

Accepted Answer

Patients with bulimia nervosa often eat large amounts of food and then purge to get rid of the calories, typically doing so in secret to hide their disorder. This secretive behavior is a key difference from anorexia nervosa, where individuals severely restrict their food intake but do not typically engage in binge-purge cycles.

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?

Accepted Answer

Parents of adolescents with anorexia nervosa often exhibit perfectionistic and overly demanding attitudes or behaviors. This can contribute to the development or exacerbation of the disorder, as the individual may strive to meet these unrealistic expectations, particularly regarding body image and control over eating.

Question 14

As a nurse, you understand that anorexia nervosa in adolescents may be related to:

Accepted Answer

The answer of As a nurse, you understand that anorexia...

Question 15

In addition to gastrointestinal disorders associated with eating disorders, nurses must be aware of and assess for other medical complications including:

Accepted Answer

Eating disorders can lead to a wide range of medical complications, including electrolyte imbalances, cardiac irregularities, and dehydration, making "All of the above" the correct answer.

Quiz 18: Eating Disorders