ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 31 : Eating Disorders: Management of Eating and Weight Questions
Question 1 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 2 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.
Question 3 of 5
While talking with a client with an eating disorder, the client states, I?ve gained 2 pounds, so soon I?ll be over 100 pounds. The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The statement reflects magnification (
A), exaggerating the significance of a 2-pound gain into a catastrophic outcome. Selective abstraction (
B) focuses on one detail, overgeneralization (
C) applies one event broadly, and dichotomous thinking (
D) is all-or-nothing reasoning.
Question 4 of 5
While caring for a client with anorexia nervosa, the nurse anticipates that the client would have difficulty making which of the following comments?
Correct Answer: A
Rationale: Clients with anorexia nervosa often struggle to express anger directly (
A) due to emotional suppression and fear of conflict. Statements about perfectionism (
B), fear of weight gain (
C), and food preoccupation (
D) are typical and align with the disorder?s characteristics.
Question 5 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.