Question 1

A nursing intervention that will be planned to occur early in the nurse-patient relationship with a patient with an eating disorder is:

Accepted Answer

A)  Using confrontation to attack denial 
B)  Placing the patient in a therapeutic group 
C)  Formulating a therapeutic nurse-patient alliance 
D)  Attacking enmeshment by separating patient and family 
A)  Using confrontation to attack denial 
B)  Placing the patient in a therapeutic group 
C)  Formulating a therapeutic nurse-patient alliance 
D)  Attacking enmeshment by separating patient and family

Question 2

A 14-year-old patient newly admitted to the eating disorders unit refuses to eat meals and angrily shouts at the nurse,"You can't make me eat! I'll do whatever I want to do." Which nursing intervention demonstrates an understanding of the priority safety issue for this anorexic patient?

Accepted Answer

A)  Placing the patient's favorite low calorie beverages in open view 
B)  Assigning a staff member to one-on-one observation of the patient 
C)  Unlocking the patient's bathroom only at specific times during the day 
D)  Explaining to the patient that they will be required to keep an eating journal 
A)  Placing the patient's favorite low calorie beverages in open view 
B)  Assigning a staff member to one-on-one observation of the patient 
C)  Unlocking the patient's bathroom only at specific times during the day 
D)  Explaining to the patient that they will be required to keep an eating journal

Question 3

A patient is being assessed for a binge-eating-associated eating disorder.Which assessment question is directed towards collecting data on the most commonly abused substance among this patient population?

Accepted Answer

A)  "How much alcohol do you drink on a weekly basis?" 
B)  "Do you use amphetamines to help control your weight?" 
C)  "Do you rely on laxatives to control your bowel movements?" 
D)  "How many packs of cigarettes do you smoke on a daily basis?" 
A)  "How much alcohol do you drink on a weekly basis?" 
B)  "Do you use amphetamines to help control your weight?" 
C)  "Do you rely on laxatives to control your bowel movements?" 
D)  "How many packs of cigarettes do you smoke on a daily basis?"

Question 4

Which assessment findings support a diagnosis of bulimia nervosa? Select all that apply.

Accepted Answer

A)  Loose watery stool 
B)  Red rash on extremities 
C)  Blood pressure of 88/58 
D)  A potassium level of 2.8 mEq/L 
E)  Reports of mild muscle cramping 
A)  Loose watery stool 
B)  Red rash on extremities 
C)  Blood pressure of 88/58 
D)  A potassium level of 2.8 mEq/L 
E)  Reports of mild muscle cramping

Question 5

A patient being treated for an eating disorder is prescribed refeeding.Which outcome is the primary reason a patient receiving this treatment is closely monitored by the nursing staff?

Accepted Answer

A)  Complies with treatment commendation made by treatment team 
B)  Regularly consumes and tolerates between 3000 to 4000 kcal/day 
C)  No physical signs or symptoms of an electrolyte imbalance are observable 
D)  Discharge depends on patient's ability to demonstrate a gain of 3 pounds per week 
A)  Complies with treatment commendation made by treatment team 
B)  Regularly consumes and tolerates between 3000 to 4000 kcal/day 
C)  No physical signs or symptoms of an electrolyte imbalance are observable 
D)  Discharge depends on patient's ability to demonstrate a gain of 3 pounds per week

Question 6

How does the mortality rate among patients diagnosed with eating disorders compare to those with other psychiatric diagnoses?

Accepted Answer

A)  More deaths are attributed to substance abuse than to eating disorders. 
B)  This disorder is associated with the highest death rate among all other disorders. 
C)  This disorder has fewer associated deaths that any other impulse control disorder. 
D)  More related deaths are recorded compared to those associated with schizophrenia. 
A)  More deaths are attributed to substance abuse than to eating disorders. 
B)  This disorder is associated with the highest death rate among all other disorders. 
C)  This disorder has fewer associated deaths that any other impulse control disorder. 
D)  More related deaths are recorded compared to those associated with schizophrenia.

Question 7

A teenager admitted to the eating disorders unit has begun displaying behaviors that reflect possible secondary gains related to the hospitalization.What is the basis for this behavioral change?

Accepted Answer

A)  The patient has moved into the guilt phase of the recovery process. 
B)  The attention has reinforced the initial food-focusing behaviors. 
C)  The medication therapy has not yet brought about the expected results. 
D)  The increase of calories had help clarify the patient's thought processes. 
A)  The patient has moved into the guilt phase of the recovery process. 
B)  The attention has reinforced the initial food-focusing behaviors. 
C)  The medication therapy has not yet brought about the expected results. 
D)  The increase of calories had help clarify the patient's thought processes.

Question 8

Which intervention best monitors the health status of a patient newly admitted for a diagnosis of bulimia nervosa?

Accepted Answer

A)  Scheduling a bone mineral density screening 
B)  Performing a portable electrocardiogram (ECG) 
C)  Obtaining a urine sample for a urine analysis 
D)  Arranging for a serum potassium level to be drawn 
A)  Scheduling a bone mineral density screening 
B)  Performing a portable electrocardiogram (ECG) 
C)  Obtaining a urine sample for a urine analysis 
D)  Arranging for a serum potassium level to be drawn

Question 9

Which concern has the greatest priority for a patient admitted with a diagnosis of bulimia nervosa?

Accepted Answer

A)  Social isolation 
B)  Imbalanced fluid volume 
C)  Compromised family coping 
D)  Disturbed perception of body image 
A)  Social isolation 
B)  Imbalanced fluid volume 
C)  Compromised family coping 
D)  Disturbed perception of body image

A nursing intervention that will be planned to occur early in the nurse-patient relationship with a patient with an eating disorder is:

A 14-year-old patient newly admitted to the eating disorders unit refuses to eat meals and angrily shouts at the nurse,"You can't make me eat! I'll do whatever I want to do." Which nursing intervention demonstrates an understanding of the priority safety issue for this anorexic patient?

A patient is being assessed for a binge-eating-associated eating disorder.Which assessment question is directed towards collecting data on the most commonly abused substance among this patient population?

Which assessment findings support a diagnosis of bulimia nervosa? Select all that apply.

A patient being treated for an eating disorder is prescribed refeeding.Which outcome is the primary reason a patient receiving this treatment is closely monitored by the nursing staff?

How does the mortality rate among patients diagnosed with eating disorders compare to those with other psychiatric diagnoses?

A teenager admitted to the eating disorders unit has begun displaying behaviors that reflect possible secondary gains related to the hospitalization.What is the basis for this behavioral change?

Which intervention best monitors the health status of a patient newly admitted for a diagnosis of bulimia nervosa?

Which concern has the greatest priority for a patient admitted with a diagnosis of bulimia nervosa?

Psychiatric Nursing: Theory, Principles, and Trends

Nursing Practice in the Clinical Setting

The Nursing Process and Standards of Care

Therapeutic Communication: Interviews and Interventions

Adaptation to Stress

Neurobiology in Mental Health and Mental Disorder

Human Development Across the Life Span

Culture, Ethnicity, and Spirituality

Legal and Ethical Aspects in Clinical Practice

Anxiety and Anxiety Disorders

Somatoform, Factitious, and Dissociative Disorders

Mood Disorders: Depression, Bipolar, and Adjustment Disorders

Schizophrenia and Other Psychotic Disorders

Personality Disorders

Substance Related Disorders and Addictive Behaviors

Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders

Disorders of Infancy, Childhood, and Adolescence

Sleep Disorders: Dyssomnias and Parasomnias

Sexual Disorders: Sexual Dysfunctions and Paraphilias

Crisis: Theory and Intervention

Suicide: Prevention and Intervention

Violence: Anger, Abuse, and Aggression

Forensic Nursing

Psychopharmacology

Therapies: Theory and Clinical Practice

Complementary and Alternative Therapies

Grief: In Loss and Death

Mental and Emotional Responses to Medical Illness

Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

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Exam 18: Eating Disorders: Anorexia Nervosa and Bulimia Nervosa

A nursing intervention that will be planned to occur early in the nurse-patient relationship with a patient with an eating disorder is:

A 14-year-old patient newly admitted to the eating disorders unit refuses to eat meals and angrily shouts at the nurse,"You can't make me eat! I'll do whatever I want to do." Which nursing intervention demonstrates an understanding of the priority safety issue for this anorexic patient?

A patient is being assessed for a binge-eating-associated eating disorder.Which assessment question is directed towards collecting data on the most commonly abused substance among this patient population?

Which assessment findings support a diagnosis of bulimia nervosa? Select all that apply.

A patient being treated for an eating disorder is prescribed refeeding.Which outcome is the primary reason a patient receiving this treatment is closely monitored by the nursing staff?

How does the mortality rate among patients diagnosed with eating disorders compare to those with other psychiatric diagnoses?

A teenager admitted to the eating disorders unit has begun displaying behaviors that reflect possible secondary gains related to the hospitalization.What is the basis for this behavioral change?

Which intervention best monitors the health status of a patient newly admitted for a diagnosis of bulimia nervosa?

Which concern has the greatest priority for a patient admitted with a diagnosis of bulimia nervosa?

Psychiatric Nursing: Theory, Principles, and Trends

Nursing Practice in the Clinical Setting

The Nursing Process and Standards of Care

Therapeutic Communication: Interviews and Interventions

Adaptation to Stress

Neurobiology in Mental Health and Mental Disorder

Human Development Across the Life Span

Culture, Ethnicity, and Spirituality

Legal and Ethical Aspects in Clinical Practice

Anxiety and Anxiety Disorders

Somatoform, Factitious, and Dissociative Disorders

Mood Disorders: Depression, Bipolar, and Adjustment Disorders

Schizophrenia and Other Psychotic Disorders

Personality Disorders

Substance Related Disorders and Addictive Behaviors

Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders

Disorders of Infancy, Childhood, and Adolescence

Sleep Disorders: Dyssomnias and Parasomnias

Sexual Disorders: Sexual Dysfunctions and Paraphilias

Crisis: Theory and Intervention

Suicide: Prevention and Intervention

Violence: Anger, Abuse, and Aggression

Forensic Nursing

Psychopharmacology

Therapies: Theory and Clinical Practice

Complementary and Alternative Therapies

Grief: In Loss and Death

Mental and Emotional Responses to Medical Illness

Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

Filters