Chapter 31 Flashcards
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?
This therapy will provide the client with control over behavioral choices.
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?
The home environment is overprotective and demands perfection.
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?
The client will perceive an ideal body weight and shape as normal.
A nurse observes dental deterioration when assessing a client diagnosed with bulimia nervosa. What explains this assessment finding?
The emesis produced during purging is acidic and corrodes the tooth enamel.
Why are behavior modification programs the treatment of choice for clients diagnosed with eating disorders?
These programs allow clients to maintain control.
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?
“I am angry at my mother. I can get her approval only when I win competitions.”
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?
“Family intervention and support are important in your child’s recovery.”
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?
The client demonstrates healthy coping mechanisms that decrease anxiety.
A morbidly obese client is prescribed an anorexiant medication. The nurse should prepare to teach the client about which medication?
Lorcaserin (Belviq)
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?
“Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not.”
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?
15 mL
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?
Altered nutrition: less than body requirements R/T inadequate food intake
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?
The client will gain 2 pounds prior to the next weekly appointment.
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?
Metabolic acidosis
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?
The nurse who refuses to engage in power struggles related to food consumption
