ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 31 : Eating Disorders: Management of Eating and Weight Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, This is a stupid waste of time! Which of the response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Acknowledging the client?s irritation and inviting discussion (
B) validates feelings and encourages engagement, therapeutic for anorexia nervosa group settings. Allowing leaving (
A), enforcing participation (
C), or silencing (
D) dismisses emotions and hinders group progress.
Question 4 of 5
An adolescent is brought to the emergency department by her parents because they were concerned about their daughter?s appearance. The client appears emaciated and pale. The parents tell the nurse that the client has been diagnosed with anorexia nervosa. A history and physical examination and laboratory testing are completed. Which of the following would lead the nurse to suspect that the client will be admitted to the hospital? Select all that apply.
Correct Answer: C,D,E
Rationale: Decreased magnesium (
C), heart rate of 40 (
D), and hopelessness (E) indicate severe medical and psychological complications of anorexia nervosa, warranting hospitalization. Normal blood pressure (
A) and elevated potassium (
B) are less concerning.
Question 5 of 5
A group of nursing students is reviewing the similarities and differences between bulimia nervosa and binge-eating disorder. The students demonstrate understanding when they identify which characteristics as specific to binge-eating disorder? Select all that apply.
Correct Answer: A,B
Rationale: Binge-eating disorder (BE
D) is characterized by obesity (
A) and no purging behaviors (
B). Binge periods are not necessarily shorter (
C), overexercising (
D) is more common in bulimia, and guilt (E) is typical after binging in BED.