ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 31 : Eating Disorders: Management of Eating and Weight Questions
Question 1 of 5
A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication?
Correct Answer: D
Rationale: SSRIs for bulimia nervosa can cause weight changes, and reporting these early (
D) is important for monitoring and adjusting treatment. Fluid intake (
A) is not typically monitored, stopping for weight gain (
B) is inappropriate, and menstrual irregularities (
C) are not a primary concern.
Question 2 of 5
The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients? histories?
Correct Answer: C
Rationale: Depression (
C) is a common comorbidity in anorexia nervosa, increasing risk for self-harm and complicating treatment, warranting close attention. Paranoia (
A), insomnia (
B), and aggression (
D) are less prevalent or specific.
Question 3 of 5
The nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the teaching plan?
Correct Answer: D
Rationale: Setting realistic goals (
D) supports recovery by promoting achievable steps toward healthy eating and weight restoration. Calorie knowledge (
A) may reinforce obsessive behaviors, impulse control (
B) is less specific, and describing consequences (
C) is informative but not action-oriented.
Question 4 of 5
A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find?
Correct Answer: A
Rationale: Impulsivity (
A) is common in bulimia nervosa, manifesting in binge-purge cycles. Panic (
B) and hyperactivity (
C) are less specific, and delusions (
D) are not typical, aligning more with psychotic disorders.
Question 5 of 5
The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?
Correct Answer: C
Rationale: Self-monitoring in bulimia nervosa involves recording environmental stimuli (
C) to identify triggers for binge-purge behaviors. Hunger (
A), distraction (
B), and rigid rules (
D) are less directly tied to the core goal of trigger identification.