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 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 2 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 3 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 4 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 5 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.