ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 31 : Eating Disorders: Management of Eating and Weight Questions
Question 1 of 5
A nursing instructor is reviewing the various theories related to anorexia nervosa. Which of the following would the instructor include when describing theories related to the biologic domain? Select all that apply.
Correct Answer: A,F
Rationale: Biologic theories for anorexia nervosa include genetic vulnerability (
A) and decreased serotonin activity (F), linked to appetite and mood regulation. Separation-individuation (
B), role pressures (
C), and pursuit of thinness (E) are psychosocial, and dieting (
D) is behavioral.
Question 2 of 5
A nurse is preparing a presentation for a local middle school health class about eating disorders as a means for prevention and early detection. Which of the following would the nurse incorporate into the presentation as being common to both anorexia nervosa and bulimia nervosa? Select all that apply.
Correct Answer: A,C,F
Rationale: Body dissatisfaction (
A), obsessiveness (
C), and cognitive distortions (F) are common to both anorexia and bulimia nervosa, reflecting distorted self-image and rigid thinking. Control (
B) is more specific to anorexia, boundary problems (
D) to bulimia, and sexuality fears (E) are less universal.
Question 3 of 5
A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?
Correct Answer: C
Rationale: A behavioral plan for increasing weight directly addresses Imbalanced Nutrition: Less Than Body Requirements (
C), the primary physical issue in anorexia nervosa. Body image (
A), anxiety (
B), and coping (
D) are secondary concerns.
Question 4 of 5
A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa?
Correct Answer: D
Rationale: A balanced, non-enmeshed relationship with the mother (
D) is less associated with bulimia nervosa, which often involves enmeshed (
A), dependent (
B), or chaotic (
C) family dynamics.
Question 5 of 5
A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?
Correct Answer: B
Rationale: Cognitive behavioral therapy (CBT) (
B) is the most effective non-pharmacologic treatment for bulimia nervosa, addressing distorted thoughts and behaviors. Behavioral therapy (
A) is less specific, interpersonal (
C) and family (
D) therapies are adjunctive.