ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 70 : Caring for Clients With Eating Disorders Questions
Question 1 of 5
A teenage client has been diagnosed with anorexia nervosa. What is a complication of anorexia nervosa?
Correct Answer: C
Rationale: Low levels of serum estrogen also lead to osteopenia (low bone mass) and premature osteoporosis (severe demineralization of bones), both of which result in stress fractures, particularly of the spine and hips. Erosion of tooth enamel and fluid and electrolyte imbalance are related to bulimia nervosa. Constipation, not diarrhea, is associated with anorexia nervosa.
Question 2 of 5
The nurse is preparing a teaching plan for a client diagnosed with bulimia nervosa. What would be included in the teaching plan?
Correct Answer: B
Rationale: Included in the teaching plan should be that the client will consume no more than 2000 to 3000 calories/day divided among three meals plus or minus snacks. There should be a restriction of eating locations. Binging takes place when the client with bulimia is alone and when there is a low potential for being discovered. Consuming low-caloric foods may create less anxiety and reduce the potential for purging.
Question 3 of 5
Eating disorders affect approximately 30 million people of all ages and genders in the United States. All are considered eating disorders except:
Correct Answer: D
Rationale: Obesity is not considered an eating disorder but may be caused by an eating disorder. Bulimia, anorexia, and binge eating are eating disorders.
Question 4 of 5
Increases in which neurotransmitter contribute to restrictive eating?
Correct Answer: A
Rationale: Increased serotonin levels contribute to restricted eating. Dopamine, norepinephrine, and tryptophan are not associated with restrictive eating.
Question 5 of 5
The nurse understands that a client with an eating disorder will eat outside the range of normal. Which is the primary reason that eating disorders remain underreported?
Correct Answer: C
Rationale: Often, clients with eating disorders strive to keep their illness secret. Eating disorders range from extreme thinness to obesity with variations in body shapes and sizes. Many Americans are on some form of 'diet,' which makes it more difficult to identify a disorder. Even though the disorder may result in physiologic imbalances and medical complications, eating disorders are considered mental health disorders that are accompanied by anxiety and guilt.