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

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 2 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 3 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 4 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.

Question 5 of 5

A psychiatric mental health nurse working in the community is planning an educational program for fifth and sixth grade teachers. Which of the following would the nurse include?

Correct Answer: A

Rationale: The correct answer is A.
Rationale: Discussing media?s role in promoting unrealistic body images addresses a key risk factor for eating disorders in young students. Focusing only on females (
B) ignores males, unsupervised eating (
C) may miss opportunities for intervention, and peer pressure (
D) is significant at this age.

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