Exam 16: Eating Disorders

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

A patient admitted to the eating disorders unit has yellow skin,the extremities are cold,and the heart rate is 42 bpm.The patient weighs 70 pounds;height is 5 feet 4 inches.The patient is quiet during the assessment saying only,"I will not eat until I lose enough weight to look thin." Select the best initial nursing diagnosis.

Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight.Which nursing intervention is most important to add to the plan of care?

A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight.The nurse says,"Describe what you think about your present weight and how you look." Which response would be most consistent with anorexia nervosa?

Which statement(s)by the parent of a teen with anorexia nervosa indicate(s)that teaching was effective? Select all that apply.

A patient with anorexia nervosa in outpatient treatment has begun refeeding.Between the first and second appointment,the patient gained 8 pounds.The nurse should:

Which statement is most likely from a patient with anorexia nervosa?

Which finding for a patient with an eating disorder most clearly indicates the need for hospitalization?

Which personality characteristic is most likely in a patient with anorexia nervosa?

Appropriate teaching for a patient with bulimia nervosa who binges and purges is:

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

A patient has recently been under significant stress and worked long hours.At home,the patient watches television and eats until going to bed.The patient is too tired to exercise and has gained 25 pounds in 1 month.A desired outcome for the patient is to recognize anxiety that precedes binge eating and reduce it.Which intervention addresses the outcome?