A client being treated for anorexia nervosa is 5 feet 10 inches tall and weighs 100 pounds. The client believes she is overweight. On the days the client is scheduled to be weighed, the nurse should be prepared for the client to:

Correct Answer: B

Rationale: Correct Answer: B - Dress in several layers of clothing. Rationale: An individual with anorexia nervosa often engages in behaviors to manipulate their weight, such as wearing heavy clothing to increase their weight on the scale. This behavior is a result of distorted body image and fear of gaining weight. By dressing in several layers of clothing, the client may attempt to influence the scale reading to align with their perceived body image. Summary of other choices: A: Eagerly asking for information about her present weight is unlikely as individuals with anorexia nervosa typically avoid discussions or confrontations related to their weight. C: Suggesting that the scale numbers be hidden is not as likely as the client may want to see the numbers to validate their belief of being overweight. D: Reminding the nurse that she is ready to be weighed may occur, but it does not address the behavior of dressing in layers to manipulate weight.

Correct Answer: C

Rationale: The correct answer is C: focus on being thin as a measure of attractiveness. This is because societal pressures and media influence have placed a strong emphasis on thinness as the ideal body type, leading to increased body dissatisfaction and disordered eating behaviors. Option A (more competitive workplace) and B (increase in the number of divorces) are not directly linked to eating disorders, while option D (increase in the number of nonnutritional foods consumed) may contribute to health issues but not specifically to eating disorders. In conclusion, the societal focus on thinness has a significant impact on the rise of eating disorders in the United States.

Correct Answer: A

Rationale: The correct answer is A: Promoting self-demand feeding for the child. This approach encourages the child to listen to their own hunger cues and regulate their food intake accordingly, promoting a healthy relationship with food. It empowers the child to develop autonomy and self-awareness around eating habits. Explanation for why the other choices are incorrect: B: While distinguishing between physical and psychological hunger is important, it is not the central concept for preventing childhood eating problems. C: Scheduling meals may not align with the child's natural hunger cues and can potentially lead to disordered eating patterns. D: Parental expectations can create pressure around eating, potentially leading to negative relationships with food.

Correct Answer: A

Rationale: The correct answer is A: A selective serotonin reuptake inhibitor (SSRI). SSRIs are commonly used in treating bulimia nervosa due to their effectiveness in reducing binge eating and purging behaviors. They work by increasing serotonin levels in the brain, which helps regulate mood and appetite control. A nurse would develop a patient education program for SSRIs to explain their mechanism of action, potential side effects, how to take them correctly, and the importance of compliance. Summary: - Lithium is not typically used for bulimia nervosa and is more commonly used for bipolar disorder. - Acamprosate is used for alcohol dependence, not bulimia nervosa. - Benzodiazepines are not indicated for bulimia nervosa and are typically used for anxiety disorders or insomnia.

Correct Answer: A

Rationale: In the context of age-specific care competency, understanding the prevalence of eating disorders in different populations is essential for providing appropriate care. In Singapore, the most common eating disorder seen in patients presenting to the hospital is Anorexia Nervosa. This disorder is characterized by extreme food restriction leading to significantly low body weight, intense fear of gaining weight, and a distorted body image. Anorexia Nervosa is the correct answer because it has a higher prevalence compared to other eating disorders in Singapore. Understanding the specific demographics and cultural factors influencing the prevalence of eating disorders in a region is crucial for healthcare providers to effectively identify, assess, and treat patients. Bulimia Nervosa, characterized by episodes of binge eating followed by compensatory behaviors like purging, is less common in Singapore compared to Anorexia Nervosa. Binge-Eating Disorder, involving recurrent episodes of consuming large quantities of food without purging, is also less prevalent in this population. ARFID (Avoidant/Restrictive Food Intake Disorder) is another eating disorder, but it is typically seen more in children than in adults in Singapore. Educationally, it is important for healthcare professionals to be aware of the prevalence rates of different eating disorders in their specific population to provide targeted care and interventions. By understanding the nuances of eating disorder presentation in different age groups and cultures, healthcare providers can offer more effective support and treatment to patients struggling with these conditions.