Exam 31: Eating Disorders

Which nursing intervention is appropriate when caring for clients diagnosed with either anorexia nervosa or bulimia nervosa?

When a community health nurse arrives at the home of a client diagnosed with bulimia nervosa,the nurse finds the client on the floor unconscious.The client has a history of using laxatives for purging.To what would the nurse attribute this client's symptoms?

A nurse is seeing a client in an outpatient clinic for treatment of anorexia nervosa.Which is the most appropriate,correctly written short-term outcome for this client?

A client diagnosed with anorexia nervosa stopped eating 5 months ago and lost 25% of total body weight.Which subjective client response would the nurse assess to support this medical diagnosis?

A nurse observes dental deterioration when assessing a client diagnosed with bulimia nervosa.What explains this assessment finding?

A high school senior is diagnosed with anorexia nervosa and is hospitalized for severe malnutrition.The treatment team is planning to use behavior modification.What rationale should a nurse identify as the reasoning behind this therapy choice?

A potential Olympic figure skater collapses during practice and is hospitalized for severe malnutrition.Anorexia nervosa is diagnosed.Which client statement best reflects a theory about the underlying etiology of this disorder?

A client who is 5 foot 6 inches tall and weighs 98 pounds is admitted with a medical diagnosis of anorexia nervosa.Which nursing diagnosis would take priority at this time?

A nursing diagnosis of ineffective coping R/T feelings of loneliness AEB bingeing then purging when alone,is assigned to a client diagnosed with bulimia nervosa.Which is an appropriate outcome related to this nursing diagnosis?

A morbidly obese client is prescribed an anorexiant medication.The nurse should prepare to teach the client about which medication?

Family dynamics are thought to be a major influence in the development of anorexia nervosa.Which information related to a client's home environment should a nurse associate with the development of this disorder?

A nurse responsible for conducting group therapy on an eating disorder unit schedules the sessions immediately after meals.Which is the best rationale for scheduling group therapy at this time?

A group of nurses are discussing how food is used in their families and the effects this might have on their ability to work with clients diagnosed with eating disorders.Which of these nurses will probably be most effective with these clients?

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months.Which factor should a nurse identify as an appropriate indicator of a positive client behavioral change?

A nurse should identify topiramate (Topamax)as the drug of choice for which of the following conditions? Select all that apply.

The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team calls for a family meeting.Which is the appropriate nursing reply?

A client diagnosed with bulimia nervosa is to receive fluoxetine (Prozac)by oral solution.The medication is supplied in a 100-mL bottle.The label reads 20 mg/5 mL.The doctor orders 60 mg q day.Which dose of this medication should the nurse dispense?

A nursing instructor is teaching students about the differences between the symptoms of anorexia nervosa and the symptoms of bulimia nervosa.Which student statement indicates that learning has occurred?

A nurse working with a client diagnosed with bulimia nervosa asks the client to recall a time in life when food could be consumed without purging.Which is the purpose of this nursing intervention?

A client's altered body image is evidenced by claims of "feeling fat," even though the client is emaciated.Which is the appropriate outcome criterion for this client's problem?