ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 20 Questions
Question 1 of 5
A 15-year-old female is admitted for treatment of anorexia nervosa. Which is characteristic of anorexia nervosa?
Correct Answer: A
Rationale: Anorexia nervosa is characterized by significantly low body weight for age and height, not amenorrhea (a symptom, not defining), absence of hunger (clients feel hunger but ignore it), or dental erosion (typical of bulimia).
Question 2 of 5
The nurse is assessing a client with bulimia nervosa. Which of the following symptoms would the nurse expect to find?
Correct Answer: B,C,E
Rationale: Bulimia is associated with normal weight, dental erosion from vomiting, and metabolic alkalosis, whereas cold intolerance and hypotension are linked to anorexia's emaciation.
Question 3 of 5
Which eating disorder is characterized by consuming an amount of food much larger than a person would normally eat and of near-normal weight? Afterward, the client may purge the food or exercise excessively, and between binges, the client may eat low-calorie foods or fast.
Correct Answer: B
Rationale: Bulimia involves binge eating large amounts followed by purging or fasting, maintaining near-normal weight, unlike anorexia (low weight), pica (nonfood ingestion), or rumination (regurgitation).
Question 4 of 5
When working with the family of a client with anorexia nervosa, which of the following issues must be addressed?
Correct Answer: B
Rationale: Anorexia often involves clients exerting control over eating due to perceived lack of control elsewhere, making family control issues critical to address, unlike codependence, self-discipline, or sexual identity.
Question 5 of 5
During an initial interview at a clinic, a young female client states that there is nothing wrong with her. Which would indicate to the nurse that this client might have anorexia nervosa?
Correct Answer: D
Rationale: Severe weight loss from self-imposed dieting is a hallmark of anorexia, unlike overeating (bulimia), positive self-concept, or flexible thinking, which are not typical.