Exam 14: Eating Disorders

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

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A, C, D, F

A patient who was referred to the eating disorders clinic has lost 35 pounds in the past 3 months. To assess the patient's oral intake, the nurse should ask:

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C

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?

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B

A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and has lost 25% of body weight. The patient's current serum potassium is 2.7 mg/dl. Which nursing diagnosis is most applicable?

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

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An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient to:

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When a nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, the nurse should state:

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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, "Within 2 weeks the patient will:

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

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A patient diagnosed with anorexia nervosa has a body mass index (BMI) of 14.8 kg/m². Which assessment finding is most likely to accompany this value?

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

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

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

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

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

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

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While providing health teaching for a patient diagnosed with bulimia nervosa, a nurse should emphasize information about:

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What behavior by a nurse caring for a patient diagnosed with an eating disorder indicates the nurse needs supervision?

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Which nursing diagnosis is more applicable 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?

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A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight. A nurse asks, "Describe what you think about your present weight and how you look." Which response by the patient is most consistent with the diagnosis?

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