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
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 2 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.
Question 3 of 5
The parents are struggling with the idea their child has anorexia and comment that the child 'often eats large quantities of food.' Which statement by the nurse best supports the diagnosis?
Correct Answer: B
Rationale: Bulimarexia is a type of anorexia in which extended periods of self-starvation is interrupted by binging, purging, and exercising. There are over twice as many persons with bulimarexia than those with simple anorexia nervosa.
Question 4 of 5
A nurse who works in an outpatient mental health facility understands that imbalances of serotonin and/or dopamine levels are linked to eating disorders. Which behavior problem is most likely to be associated with the fear of becoming fat?
Correct Answer: C
Rationale: About one third of people with eating disorders have had previous symptoms of anxiety disorder known as obsessive-compulsive disorder. Having an obsessional fear of fat may precipitate the compulsive behavior to control the fear. Panic disorder and agoraphobia are forms of anxiety disorders not significant to eating disorder. Conversion disorder is a somatoform disorder not significant to eating disorders.
Question 5 of 5
A nurse is assessing a female client who has recently drastically decreased the amount of food and number of calories consumed each day. Which assessment finding is most indicative of a client who is experiencing severe malnutrition?
Correct Answer: A
Rationale: Severe malnutrition causes the cessation of menstruation in females. Weight loss is expected with curtailing of calories but does not indicate severe malnutrition. BMI of 18 is low and indicates being underweight but not significant for severe malnutrition. In severe malnutrition, potassium levels are dangerously low.