Eating disorder Flashcards

1
Q

Treating clients with anorexia nervosa with a selective serotonin reuptake inhibitor antidepressant such as fluoxetine (Prozac) may
present which problem?
a. Clients object to the side effect of weight gain.
b. Fluoxetine can cause appetite suppression and weight loss.
c. Fluoxetine can cause clients to become giddy and silly.
d. Clients with anorexia get no benefit from fluoxetine.

A

b

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2
Q

Which is an example of a cognitive–behavioral technique?
a. Distraction
b. Relaxation
c. Self-monitoring
d. Verbalization of emotions

A

c

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3
Q

The nurse is working with a client with anorexia nervosa. Even though the client has been eating all her meals and snacks, her weight has
remained unchanged for 1 week. Which intervention is indicated?
a. Supervise the client closely for 2 hours after meals and snacks.
b. Increase the daily caloric intake from 1,500 to 2,000 calories.
c. Increase the client’s fluid intake.
d. Request an order from the physician for fluoxetine.

A

a

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4
Q

Which statement is true?
a. Anorexia nervosa was not recognized as an illness until the 1960s.
b. Cultures in which beauty is linked to thinness have an increased risk for eating disorders.
c. Eating disorders are a major health problem only in the United States and Europe.
d. Individuals with anorexia nervosa are popular with their peers as a result of their thinness.

A

b

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5
Q

Which is not a goal for treating the severely malnourished client with anorexia nervosa?
a. Correction of body image disturbance
b. Correction of electrolyte imbalances
c. Nutritional rehabilitation
d. Weight restoration

A

a

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6
Q

The nurse is evaluating the progress of a client with bulimia. Which behavior would indicate that the client is making positive progress?
a. The client can identify calorie content for each meal.
b. The client identifies healthy ways of coping with anxiety.
c. The client spends time resting in her room after meals.
d. The client verbalizes knowledge of former eating patterns as unhealthy.

A

b

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7
Q

A teenager is being evaluated for an eating disorder. Which finding would suggest anorexia nervosa?
a. Guilt and shame about eating patterns
b. Lack of knowledge about food and nutrition
c. Refusal to talk about food-related topics
d. Unrealistic perception of body size

A

d

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8
Q

A client with bulimia is learning to use the technique of selfmonitoring. Which intervention by the nurse would be most beneficial for this client?
a. Ask the client to write about all feelings and experiences related to food.
b. Assist the client in making daily meal plans for 1 week.
c. Encourage the client to ignore feelings and impulses related to food.
d. Teach the client about nutrition content and calories of various foods.

A

a

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9
Q

A nurse doing an assessment with a client with anorexia nervosa would expect which findings?
a. Belief that dieting behavior is not a problem
b. Feelings of guilt and shame about eating behavior
c. History of dieting at a young age
d. Performance of rituals or compulsive behavior
e. Strong desire to get treatment
f. View of self as overweight or obese

A

a, c, d, f

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10
Q

A nurse doing an assessment with a client with bulimia would expect which findings?
a. Compensatory behaviors limited to purging
b. Dissatisfaction with body shape and size
c. Feelings of guilt and shame about eating behavior
d. Near-normal body weight for height and age
e. Performance of rituals or compulsive behavior
f. Strong desire to please others

A

b, c, d, f

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