ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 31 Questions
Question 1 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 2 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 3 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 4 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 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.