Exam 18: Feeding, Eating, and Elimination Disorders

A psychiatric clinical nurse specialist uses cognitive-behavioral therapy for a patient diagnosed with anorexia nervosa.Which statement by the staff nurse supports this type of therapy?

Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?

Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?

Which personality characteristic is a nurse most likely to assess in a patient diagnosed with anorexia nervosa?

An outpatient diagnosed with anorexia nervosa has begun refeeding.Between the first and second appointments,the patient gained 8 pounds.The nurse should:

Disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder.Which outcome indicator is most appropriate to monitor?

One bed is available on the inpatient eating disorders unit.Which patient should be admitted to this bed? The patient whose weight decreased from:

A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine,downy hair over the trunk.The patient weighs 70 pounds; height is 5 feet 4 inches.The patient says,"I won't eat until I look thin." Select the priority initial nursing diagnosis.

As a patient admitted to the eating disorders unit undresses,a nurse observes that the patient's body is covered by fine,downy hair.The patient weighs 70 pounds and is 5 feet 4 inches tall.Which term should be documented?

Physical assessment of a patient diagnosed with bulimia often reveals:

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction?

A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:

A patient diagnosed with anorexia nervosa is hospitalized for treatment.What features should the milieu provide? Select all that apply.

A 5-year-old child was diagnosed with encopresis.Which assessment finding would the nurse expect associated with this diagnosis? The child:

A patient diagnosed with anorexia nervosa is resistant to weight gain.What is the rationale for establishing a contract with the patient to participate in measures designed to produce a specified weekly weight gain?

Which nursing diagnosis is more appropriate for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient diagnosed with bulimia nervosa who purges?

Outpatient treatment is planned for a patient diagnosed with anorexia nervosa.Select the most important desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements.Within 1 week,the patient will:

A nurse provides care for an adolescent patient diagnosed with an eating disorder.Which behavior by this nurse indicates that additional clinical supervision is needed?

A nursing diagnosis for a patient diagnosed with bulimia nervosa is Ineffective coping related to feelings of loneliness as evidenced by overeating to comfort self,followed by self-induced vomiting.The best outcome related to this diagnosis is that within 2 weeks the patient will:

A patient referred to the eating disorders clinic has lost 35 pounds in 3 months.For which physical manifestations of anorexia nervosa should a nurse assess? Select all that apply.