ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 31 : Eating Disorders: Management of Eating and Weight Questions
Question 1 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 2 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 3 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 4 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.
Question 5 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.