Question 1

The nurse should anticipate the client with anorexia nervosa to exhibit which of the following behaviors?

Accepted Answer

Obsessive rituals are a common behavior in clients with anorexia nervosa, such as rigid dietary restrictions and excessive exercise. Positive self-image, constant over-eating, and little anxiety regarding food are not typical behaviors in clients with anorexia nervosa.

Question 2

Due to the early onset of eating disorders, community-based nurses should develop and implement eating disorder education programs in the following setting first:

Accepted Answer

Schools are the best option for community-based nurses to develop and implement eating disorder education programs as eating disorders tend to start early and affect young adults. Schools offer a comprehensive and easily accessible platform to educate youth on the subject, promote healthy eating habits, and detect early signs of eating disorders. Additionally, schools can collaborate with parents and health clinics to provide students with the appropriate care and support they need.

Question 3

Which of the following questions would the nurse ask the client when assessing for a common condition thought to relate to the degree of stress that occurs with anorexia nervosa?

Accepted Answer

The condition commonly associated with stress in anorexia nervosa is amenorrhea or the absence of menstrual periods. This is due to the body's response to the stress of malnutrition and low body weight. Choices A, B, and D also relate to symptoms commonly seen in anorexia, but are not specifically related to stress.

Question 4

A client with an eating disorder is in the demographic group that represents those at highest risk for developing an eating disorder. The client is a/an:

Accepted Answer

Females are at the highest risk for developing eating disorders, with rates estimated to be 2.5 times higher than males. Children and older adults are also at risk, but not at the same level as females.

Question 5

The most appropriate intervention for the nurse to use when integrating cognitive behavioral approaches into therapy for clients with bulimia nervosa is:

Accepted Answer

The answer of The most appropriate intervention for the nurse...

Question 6

An adolescent student tells the nurse, "I lost 10 pounds in the last 3 months. I believe I have anorexia." The nurse's response should be based on the following understanding:

Accepted Answer

The nurse should evaluate whether the student's weight loss has led to maintenance body weight that is less than 85% of the expected weight for the student's age and height. This is a key diagnostic criterion for anorexia nervosa. Option A is incorrect as not all adolescent females experience anorexia. Option C is incorrect as physical development can be affected by nutritional status even if it is not immediately apparent. Option D is incorrect as willingness to talk about the issue does not necessarily indicate the absence of anorexia nervosa.

Question 7

The client with bulimia is experiencing anxiety. What action should the nurse take to assist the client to avoid binge-eating and purging in response to the anxiety?

Accepted Answer

A calm and reassuring attitude from the nurse and providing a quiet non-stimulating environment can help to reduce the client's anxiety and subsequently reduce the urge to binge-eat and purge. Contracting for safety may be necessary in certain situations but is not the first intervention for anxiety in a client with bulimia. Assuming a matter-of-fact attitude and positive expectations may also be helpful but projecting an attitude of authority and maintaining total control of the environment can increase the client's anxiety and potentially escalate symptoms.

Question 8

When assessing the client with anorexia or bulimia, the nurse must be aware that the client is more likely to suffer from which of the following comorbid psychological conditions?

Accepted Answer

Depression is a common comorbid condition in clients with anorexia or bulimia, as these disorders often involve negative self-image and distorted thinking patterns that can lead to depression. Psychotic disorders and schizophrenia are less common comorbid conditions in these clients. While avoidant personality disorder may have some features that overlap with anorexia or bulimia, it is not inherently more likely to occur as a comorbid condition.

Question 9

What are suggested outcomes for the nursing diagnosis of "Ineffective Individual Coping" for a client with anorexia nervosa?
Select all possible answers.

Accepted Answer

Ineffective individual coping can lead to difficulty managing stress and impulsive or compulsive behaviors. Therefore, outcomes that address these issues would be appropriate. Ability to acquire, organize, and use information would help the client make informed decisions about their illness and treatment. Ability to self-restrain compulsive or impulsive behaviors is important to prevent relapse or worsening of symptoms. Actions to manage stressors that tax an individual's resources would help the client better cope with triggers that may exacerbate their anorexia nervosa. Adequate nutrients taken into the body is not directly related to the nursing diagnosis of ineffective individual coping.

Question 10

When assessing the client with dramatic weight loss or gain, the nurse should consider:

Accepted Answer

Both dramatic weight loss and gain can be caused by physical or mental conditions. It is important for the nurse to consider all possible causes and perform a thorough assessment that includes both physical and psychological findings.

Question 11

Since purging and excessive exercise are not features of binge-eating disorders, these individuals often become:

Accepted Answer

Individuals with binge-eating disorders often experience weight gain and become obese due to the consumption of large amounts of food during their binge episodes. They do not engage in purging or excessive exercise like individuals with bulimia nervosa or anorexia nervosa.

Question 12

The nurse is assessing a male client who is suspected of having an eating disorder. What additional information should the nurse include in her assessment of this client?

Accepted Answer

The use of anabolic steroids can be associated with eating disorders, particularly in males, as they may use them to enhance muscle mass and body image.

Question 13

From a psychoanalytic perspective, eating disorders are related to:

Accepted Answer

According to psychoanalytic theory, eating disorders, particularly anorexia nervosa, are a result of a regression to pubertal conflicts and a repudiation of developing sexuality. This is because the adolescent body is associated with sexual development and the desire to be attractive and desirable to others. Therefore, through starvation and control of their body, individuals with anorexia may attempt to achieve a prepubertal state, free from the sexual anxiety associated with adulthood.

Question 14

The nurse providing case management to clients with eating disorders will focus on which of the following goals?
Select all possible answers.

Accepted Answer

The answer of The nurse providing case management to clients...

Question 15

A client with an eating disorder is trying to develop new coping skills. The process the nurse can use to help family members as they support the client is to:

Accepted Answer

The best choice is to assist the family to explore their own coping strategies, as it can help them better support the client. This includes acknowledging their own feelings and finding new ways to cope with the challenges presented by the client's eating disorder. Encouraging the family to challenge the client's behavior or manipulate their environment may create further conflict, while avoiding discussing their feelings about the client's illness can hinder communication and understanding within the family.

Question 16

Which of the following groups is more accepting of the way they look which may serve as a protective factor against the development of eating disorders?

Accepted Answer

Research has shown that African American women are more accepting of their body size and shape, which can serve as a protective factor against the development of eating disorders. However, it's important to note that this does not mean African American women are immune to eating disorders or body dissatisfaction.

Question 17

Which of the following interventions might facilitate the nurse's understanding of how clients with eating disorders view their bodies?

Accepted Answer

Asking the clients to draw a picture of themselves as they are now and as they desire to be can provide insight into the client's perception of their body image and can facilitate the nurse's understanding of how the client views their body. This intervention allows the client to express their feelings about their body image and can also help the nurse identify any distortions or discrepancies between the client's self-image and reality. Other interventions listed may be beneficial in the overall treatment of eating disorders, but they do not directly facilitate the nurse's understanding of the client's body image perception.

Question 18

A common characteristic of individuals with anorexia nervosa and bulimia nervosa is that they are preoccupied with:

Accepted Answer

Both anorexia nervosa and bulimia nervosa involve an intense preoccupation with body shape and size. In anorexia nervosa, individuals have a fear of gaining weight and a distorted body image, leading them to restrict food intake. In bulimia nervosa, individuals may binge eat and then engage in purging behaviors, such as vomiting or excessive exercise, to avoid weight gain. Both disorders are closely tied to body image and a desire for thinness.

Question 19

Clients with which of the following diagnosis are more likely to recognize that their eating behaviors are abnormal and bizarre?

Accepted Answer

Individuals with bulimia nervosa are more likely to recognize that their eating behaviors are abnormal and bizarre compared to those with other eating disorders. This awareness is partly due to the cycle of binge eating followed by behaviors to prevent weight gain, such as vomiting, which they often perceive as socially unacceptable or shameful.

Question 20

Which of the following physical findings regarding the client's weight is consistent with binge-eating disorders?

Accepted Answer

Clients with binge-eating disorder are often of normal or slightly above average weight. Although binge-eating can lead to weight gain and obesity, it is possible for individuals with this disorder to maintain a relatively stable weight. Fluctuations in weight are more commonly associated with other eating disorders such as anorexia nervosa or bulimia nervosa.

Quiz 3: Clients With Mental Disorders, and Vulnerable Populations