Chapter 31: Eating Disorders: Management of Eating and Weight - Nurselytic

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Chapter 31 : Eating Disorders: Management of Eating and Weight Questions

Question 1 of 5

A nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client?s diagnosis?

Correct Answer: B

Rationale: Low self-esteem (
B) is a hallmark psychological feature of eating disorders, strongly supporting the diagnosis. A thin parent (
A) is less specific, high confidence (
C) contradicts typical traits, and close family ties (
D) are not diagnostic.

Question 2 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 3 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 4 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 5 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.

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