ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 31 : Eating Disorders: Management of Eating and Weight Questions
Question 1 of 5
The nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the teaching plan?
Correct Answer: D
Rationale: Setting realistic goals (
D) supports recovery by promoting achievable steps toward healthy eating and weight restoration. Calorie knowledge (
A) may reinforce obsessive behaviors, impulse control (
B) is less specific, and describing consequences (
C) is informative but not action-oriented.
Question 2 of 5
A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find?
Correct Answer: A
Rationale: Impulsivity (
A) is common in bulimia nervosa, manifesting in binge-purge cycles. Panic (
B) and hyperactivity (
C) are less specific, and delusions (
D) are not typical, aligning more with psychotic disorders.
Question 3 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 4 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 5 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.