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
The nurse is assisting a binge eater in establishing a dietary plan of care. What instruction is most likely to cause a relapse in behavior?
Correct Answer: D
Rationale: Strict dieting or fasting is the leading cause of binging. The newer approach to weight management stresses that all foods are acceptable and strict avoidance of foods tends to worsen binge eating. Clients should attend self-help groups or group therapy. Being cautious of items that are labeled fat free and sugar free is encouraged because sugar free may not mean calorie free. Remember that recovery is a day-by-day process.
Question 2 of 5
The nurse is caring for a client who is struggling with weight loss issues, without apparent physical cause. Which is the most likely nursing assessment for this nutritional disorder in which normal body weight is not maintained?
Correct Answer: B
Rationale: Anorexia nervosa is a nutritional disorder that is characterized by a refusal to maintain normal body weight in the absence of physical cause. Anorexia nervosa is considered a psychiatric disorder in a relentless pursuit of thinness. Bulimia is an eating disorder in which voracious appetite is followed by purging and is most likely found in normal to overweight individuals. Kwashiorkor is a severe protein deficiency associated with lack of protein in the diet. Crohn's disease can result in nutritional deficiencies but has apparent physiological cause.
Question 3 of 5
A client has been diagnosed with bulimia nervosa. Which assessment finding(s) contribute to this diagnosis? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Self-induced vomiting and use of emetics such as ipecac damage teeth, cause chronic sore throat and risk of esophageal erosion and abuse of laxatives and enemas contributes to constipation. The non-prescribed use of diuretics and diet pills predisposes to liquid, electrolyte, and cardiac problems. Pulmonary embolism is not usually assessed for with bulimia nervosa.
Question 4 of 5
When assessing for anorexia nervosa, the nurse would anticipate finding what characteristic(s)? Select all that apply.
Correct Answer: B,D
Rationale: Anorexia nervosa is characterized by an obsession for thinness that is achieved through self-starvation. It occurs more often in girls between the ages of 12 to 18 years and continues into adulthood. They are often high achievers and perfectionists. Many conceal their starvation by eating alone, disposing of food, and dressing in oversized, bulky clothing.
Question 5 of 5
A client is being evaluated for an eating disorder. Which nursing assessment finding(s) is most indicative of a client with bulimia nervosa? Select all that apply.
Correct Answer: C,D,E
Rationale: In contrast to clients with anorexia nervosa, clients with bulimia nervosa are generally overweight or of normal weight, admit to their eating behavior of binging and purging, and often have erosion of teeth enamel from gastric acid contact. Bulimics are generally older at the onset of the disorder than anorexics. Anorexics are obsessed with thinness and view themselves as fat even when emaciated.