Deck 15: Feeding and Eating Disorders

Question 1

The nurse caring for a patient with binge-eating disorder knows that the health care provider ordered orlistat (Xenical) in conjunction with cognitive-behavioral therapy for which reason?

A) To help reduce dietary fat absorption and, therefore, binge-eating disorder (BED) symptoms
B) To increase the ability to lose weight and help with disordered thinking
C) To reduce the depression that is associated with the inability to lose weight
D) To provide significant weight reduction and provide adequate remission from binging

Answer 1

To help reduce dietary fat absorption and, therefore, binge-eating disorder (BED) symptoms

Question 2

The nurse caring for a patient with a feeding and eating disorder knows that which diagnostic features differentiate anorexia nervosa from bulimia nervosa? Select all that apply.

A) Brain atrophy
B) Alterations in metabolism
C) Alterations in brain structure
D) Alterations in neurochemistry
E) Risk genes on chromosomes 1, 4, and 10

Answer 2

Alterations in metabolism
Alterations in brain structure
Alterations in neurochemistry

Question 3

The nurse caring for a patient with anorexia nervosa who has a BMI of 16.5 kg/m² recognizes the patient is in which stage of severity?

A) Mild
B) Severe
C) Extreme
D) Moderate

Answer 3

Moderate

Question 4

The nurse assessing a patient diagnosed with bulimia nervosa expects to see which characteristics?

A) Anxiety, low self-esteem, and impulsivity
B) Irritability, preoccupation with food, and rituals
C) Depression, devalued self-worth, and loss of libido
D) Social withdrawal, early menarche, and reduced concentration

Question 5

A nurse is caring for a patient with a binge-eating disorder. What condition or appearance will the nurse most likely find in the patient?

A) Obesity
B) Hunger
C) Anorexia
D) Emaciation

Question 6

When developing a plan of care for clients with feeding and eating disorders, the nurse knows that which factor makes them challenging to treat? Select all that apply.

A) Hormone dysregulation
B) Peer influences
C) Co-morbid medical illness
D) Exposure to different forms of media
E) Loss of connection to family or culture

Question 7

The nurse taking care of a patient with an eating disorder that knows which are goals of treatment? Select all that apply.

A) Prevent relapse
B) Treat physical complications
C) Correct maladaptive thoughts
D) Restore the patient to ideal weight
E) Monitor and restrict family interactions

Question 8

The nurse caring for a patient with an eating disorder knows that which domain's characteristics result in the central theme of distorted body image and belief and fear of being fat?

A) Cultural
B) Spiritual
C) Sociological
D) Psychological

Question 9

The nurse caring for a patient with bulimia nervosa knows that which intervention is considered the first-line treatment?

A) Art therapy
B) SSRI therapy
C) Dialectical behavior therapy
D) Cognitive-behavioral therapy

Question 10

The nurse caring for a malnourished patient with anorexia nervosa in the hospital knows to watch for which potentially fatal condition?

A) MAOI toxicity
B) Vitamin deficiency
C) Refeeding syndrome
D) SSRI-induced suicidality

Question 11

Which behavior will the nurse anticipate in the patient with anorexia nervosa?

A) Positive self-image
B) Constant overeating
C) Flexible rules regarding food
D) Obsessive rituals regarding food

Question 12

The nurse knows that it is important for the patient suffering from an eating disorder to maintain connections with friends and family in order to avoid which belief?

A) That the eating disorder will bring happiness
B) That forgiveness of inadequacies is acceptable
C) That maintaining the disorder leads to a loss of spirit
D) That despite the sacrifice of dieting, happiness will never come

Question 13

A patient admitted to the clinic complains of a lack of interest in most things, but especially food. After a comprehensive examination, the nurse suspects which disorder?

A) Pica
B) Bulimia nervosa
C) Rumination disorder
D) Avoidant/restrictive food intake disorder

Question 14

The nurse knows that, which meal plan is best when refeeding adolescents with eating disorders during the first two weeks of inpatient hospitalization?

A) Meals with 30% fat, 5% carbohydrates, and 65% protein
B) Meals with 30% fat, 15% protein, and 55% carbohydrates
C) Meals with 35% fat, 20% protein, and 55% carbohydrates
D) Meals with 20% fat, 30% protein, and 50% carbohydrates

Question 15

The nurse knows that which factors are the main differences between binge-eating disorder and bulimia nervosa? Select all that apply.

A) Eating more rapidly than normal
B) Bingeing due to feelings of boredom
C) Bingeing is used as a dietary restraint
D) Using food as a compensatory method of control
E) Feeling distressed about a lack of control over food consumed

Question 16

A nursing student is researching the various domains of eating disorders. From a psychoanalytic perspective, what are eating disorders related to?

A) Disturbance in the body system
B) Learned behavior regarding the effect of food
C) Conscious intrapersonal and interpersonal conflict
D) Refusal of food due to an unconscious fear of oral impregnation

Question 17

Which physical finding will lead the nurse to suspect that the client has bulimia nervosa?

A) Sunken eyes
B) A skeletal appearance
C) Abrasions and calluses on the knuckles
D) Lanugo growth on face and extremities

Question 18

Which medication will the nurse expect to administer as a first-line treatment to the patient with bulimia nervosa?

A) Fluoxetine (Prozac)
B) Methylphenidate (Ritalin)
C) Fluphenazine (Prolixin)
D) Diphenhydramine (Benedryl)

Question 19

The nurse knows that the primary health care professional will order which medication to help with disordered thinking for the patient with anorexia nervosa?

A) Amitriptyline (Elavil)
B) Olanzapine (Zyprexa)
C) Bupropion (Wellbutrin)
D) Tranylcypromine (Parnate)

Question 20

The nurse assessing a patient diagnosed with anorexia nervosa knows that this diagnosis is characterized by which compensatory behavior?

A) Repeated regurgitation of food
B) Episodes of binging and purging
C) Excessive exercise and diuretic misuse
D) Lack of interest in food and in eating food

Question 21

Which information source does the nurse recognize as presenting many societal influences on the perception of attractiveness, which is detrimental to the patient with an eating disorder?

A) Articles about eating disorders
B) Media that glamorizes thinness
C) Information about coping behaviors
D) Programs that emphasize good nutrition

Question 22

The nurse knows that which nursing diagnoses are most important when considering care of a patient with anorexia nervosa? Select all that apply.

A) Anxiety
B) Powerlessness
C) Body Image, Disturbed
D) Self-Esteem, Chronic Low
E) Nutrition, Imbalanced: Less Than Body Requirements

Question 23

Which initial nursing interventions are appropriate the patient with anorexia nervosa? Select all that apply.

A) Encouraging the patient to listen to her favorite music.
B) Talking to the patient about a favorite pastime.
C) Asking the patient to limit the number of sodas she is drinking.
D) Helping the patient confront the issue that causes stress about eating.
E) Leaving the patient alone to think when the patient is feeling overwhelmed.

Question 24

A 16-year-old girl with a anorexia nervosa is newly admitted to an outpatient treatment program for individuals with feeding and eating disorders. The nurse assigned to her plans which intervention to assist in developing the nurse-patient relationship?

A) Identifying mealtime triggers
B) Teaching deep breathing
C) Discussing ways to reframe disordered thoughts
D) Determining what foods the patient prefers

Question 25

What factor does the nurse recognize as the greatest contributing factor to poor outcomes for patients with anorexia nervosa?

A) The patient resents or refuses treatment.
B) There are limited treatments for this condition.
C) Changes in the patient's behavior are irreversible.
D) Treatment approaches are fragmented and controversial.

Question 26

The nurse knows that, if left untreated, the patient with bulimia nervosa is at risk for which priority nursing diagnosis?

A) Fatigue
B) Powerlessness
C) Risk for injury
D) Coping, Ineffective

Question 27

Which nursing interventions are appropriate for a a patient with bulimia nervosa? Select all that apply.

A) Monitoring trips to the bathroom
B) Providing emotional support during mealtimes
C) Reviewing events and feelings prior to an episode
D) Providing negative feedback to reframe feelings of purging
E) Encouraging engagement with previously enjoyed activities and experiences

Question 28

The nurse knows that some patients with bulimia nervosa fulfill which need when purging?

A) Attention
B) Self-control
C) Powerlessness
D) Quest for perfection

Question 29

The nurse is assessing a male patient who is suspected of having an eating disorder. What additional information is most important in the assessment of this patient?

A) Ethnic origin
B) Relationship with peers
C) Serum testosterone level
D) Cholesterol level

Question 30

The nurse knows that which action is most important prior to implementing care for a patient with anorexia nervosa?

A) Determining patient willingness
B) Developing a therapeutic relationship
C) Educating the patient about the disorder
D) Establishing specific, realistic, and measurable goals

Question 31

The nurse knows that which aspect of the Maudsley Model family approach is appropriate for an adolescent admitted with bulimia nervosa?

A) 20 to 30 inpatient family sessions
B) A gradual reduction in parental authority
C) Conjoint family sessions over a 3 month time frame
D) Outpatient therapy focusing on strict dietary restrictions and weight control

Question 32

The nurse knows that which is the priority nursing diagnosis for patient with anorexia nervosa who is exhibiting signs and symptoms of refeeding syndrome?

A) Anxiety
B) Body Image, Disturbed
C) Self-Esteem, Chronic Low
D) Nutrition, Imbalanced: Less Than Body Requirements