Chapter 31: Eating Disorders: Management of Eating and Weight - Nurselytic

Questions 17

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Psychiatric Nursing: Contemporary Practice 6th Edition

Chapter 31 : Eating Disorders: Management of Eating and Weight Questions

Question 1 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 2 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 3 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 4 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.

Question 5 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.

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