Question 1

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

Accepted Answer

B

Question 2

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

Accepted Answer

SSRIs work by increasing the levels of serotonin in the brain, which can help regulate appetite and increase feelings of satiety. This can be particularly helpful for individuals with overeating disorders who struggle with impulsivity and binge eating. Decreasing serotonin levels would actually have the opposite effect, increasing appetite and potentially exacerbating the overeating disorder. While decreasing depression and increasing activity tolerance may be beneficial side effects of taking an SSRI, the primary purpose for treating an overeating disorder is to regulate appetite through increasing serotonin levels.

Question 3

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

Accepted Answer

Leptin is known to decrease appetite by signaling to the brain that the body has enough energy stores and there is no need to eat more.

Question 4

A healthy BMI is in the range of:

Accepted Answer

A healthy BMI (Body Mass Index) is typically between 19 and 25. BMIs less than 19 are considered underweight, while BMIs greater than 25 are considered overweight. BMIs greater than 30 are considered obese. A BMI calculation is based on a person's weight and height and is used as a screening tool to identify potential health risks associated with weight.

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?

Accepted Answer

Bulimia nervosa can cause electrolyte imbalances, which can lead to constipation. Diarrhea, low urine output, and altered level of consciousness are not commonly associated with bulimia nervosa.

Question 6

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

Accepted Answer

The answer of A teenage client has been diagnosed with...

Question 7

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

Accepted Answer

According to the DSM-5, bulimia nervosa is characterized by recurrent episodes of binge eating and compensatory behaviors, such as vomiting, laxative use, or excessive exercise, occurring at least once a week for 3 months. Therefore, the abnormal eating pattern must persist for at least 3 months to meet the diagnostic criteria for bulimia nervosa. The answer is D, which represents a timeframe of 6 months, as it exceeds the minimum requirement of 3 months.

Question 8

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

Accepted Answer

Anorexia often leads to a decrease in body weight and fat, which can result in lower blood pressure, hence hypotension is expected.

Question 9

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

Accepted Answer

Anorexia nervosa is associated with decreased levels of serotonin, which regulates mood, appetite, and impulse control. Therefore, the neurochemical that may be increased in clients diagnosed with anorexia nervosa is serotonin.

Question 10

When comparing anorexia nervosa and bulimia, clients with bulimia:

Accepted Answer

Clients with bulimia are typically ashamed of their habitually binging and purging behaviors, while clients with anorexia nervosa may not see their restrictive eating behaviors as abnormal. Clients with bulimia may be of normal or slightly above-average weight, and the age of onset is typically in adolescence or early adulthood, while anorexia nervosa typically has an onset in the teenage years.

Question 11

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

Accepted Answer

A BMI of 16 or less is considered indicative of anorexia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria. A BMI between 18.5 and 24.9 is considered a healthy weight range. A BMI of 30 to 34.9 is considered obese and a BMI of 40 or greater is considered morbidly obese.

Question 12

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

Accepted Answer

The average number of calories an adult should consume per day to maintain a healthy weight is between 1500 to 2500 calories. This range can vary depending on factors such as age, gender, weight, height, and activity level. However, this range is a good starting point for most individuals to maintain a healthy weight. Consuming too few calories can lead to malnutrition and other health problems, while consuming too many calories can lead to weight gain and a higher risk of health problems such as diabetes and heart disease.

Question 13

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

Accepted Answer

Chronic infections can be a sign of severe malnutrition due to the weakened immune system, making the body more susceptible to infections.

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?

Accepted Answer

Moving food around the plate or arranging it in patterns is a common behavior of clients with eating disorders who are trying to avoid eating. Option B could indicate avoidance behavior or simply disengagement from the meal, while options C and D do not necessarily indicate avoidance or control behaviors.

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?

Accepted Answer

The fear of being fat interfering with daily activities is the most important question because it assesses the impact the suspected eating disorder may have on the client's life. While the other questions may be indicative of an eating disorder, they do not necessarily provide insight into how much the disorder is affecting the client's daily life.

Question 16

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

Accepted Answer

While electrolyte imbalance, dehydration, and chronic sore throat are common complications of bulimia nervosa, pulmonary embolism is not typically associated with this disorder. Other important assessments for a client with bulimia nervosa may include dental problems, gastrointestinal issues, and psychological symptoms such as anxiety and depression.

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?

Accepted Answer

Consuming 2,000 to 3,000 calories per day is a healthy guideline for many individuals, including those recovering from bulimia nervosa. This caloric range supports nutritional needs without promoting the cycle of bingeing and purging.

Question 18

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

Accepted Answer

Clients with anorexia nervosa typically consume 600-900 calories per day, which is far below the recommended daily intake for a healthy adult. Options A and B are false. Anorexia nervosa is more common in women than men, and increased serotonin levels actually contribute to decreased appetite and weight loss. Option D is also false. Despite the psychological impact, individuals with anorexia nervosa may still feel hungry but may restrict their food intake due to body image and weight concerns.

Question 19

The term that best describes bulimarexia is:

Accepted Answer

Bulimarexia is characterized by a combination of behaviors seen in both bulimia and anorexia, involving food restriction and purging.

Question 20

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

Accepted Answer

Amenorrhea, or the absence of menstrual periods, is a common clinical manifestation in individuals with anorexia as they may have extremely low body weight and may have disrupted hormones as a result. Frequent weight fluctuations, irregular menses, and swelling of the parotid glands are more commonly associated with bulimia.

Quiz 70: Caring for Clients With Eating Disorders