Exam 3 Study Guide Flashcards
a group of healthcare professionals from complementary fields who work in tandem to treat a patient
interdisciplinary
In considering the need for monitoring, which intervention should the nurse implement for a patient with anorexia nervosa? Select all that apply.
a. Provide scheduled portion-controlled meals and snacks.
b. Congratulate patients for weight gain and behaviors that promote weight gain.
c. Limit time spent in the bathroom during periods when the patient is not under direct supervision.
d. Promote exercise as a method to increase appetite.
e. Observe patient during and after meals/snacks to ensure that adequate intake is achieved and maintained.
a. Provide scheduled portion-controlled meals and snacks.
c. Limit time spent in the bathroom during periods when the patient is not under direct supervision.
e. Observe patient during and after meals/snacks to ensure that adequate intake is achieved and maintained.
Which intervention will promote independence in a patient being treated for bulimia nervosa?
a. Have the patient monitor daily caloric intake and intake and output of fluids.
b. Encourage the patient to use behavior modification techniques to promote weight gain behaviors.
c. Ask the patient to use a daily log to record feelings and circumstances related to urges to purge.
d. Allow the patient to make limited choices about eating and exercise as weight gain progresses.
d. Allow the patient to make limited choices about eating and exercise as weight gain progresses.
Safety measures are of concern in treating eating disorders. Patients with anorexia nervosa are supervised closely to monitor the following:
Select all that apply.
a. Foods that are eaten
b. Attempts at self-induced vomiting
c. Relationships with other patients
d. Weight
a. Foods that are eaten
b. Attempts at self-induced vomiting
d. Weight
Which nursing intervention has the highest priority as a patient diagnosed with anorexia nervosa begins to gain weight?
a. Assess for depression and anxiety.
b. Observe for adverse effects of refeeding.
c. Communicate empathy for the patient‘s feelings.
d. Help the patient balance energy expenditures with caloric intake.
b. Observe for adverse effects of refeeding.
An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient
a. to eat a small meal after purging.
b. not to skip meals or restrict food.
c. to increase oral intake after 4 PM daily.
d. the value of reading journal entries aloud to others.
b. not to skip meals or restrict food.
Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?
a. Assist the patient to identify triggers to binge eating.
b. Provide corrective consequences for weight loss.
c. Assess for signs of impulsive eating.
d. Explore needs for health teaching.
a. Assist the patient to identify triggers to binge eating.
A nurse conducting group therapy on the eating-disorder unit schedules the sessions immediately after meals for the primary purpose of
a. maintaining patients‘ concentration and attention.
b. shifting the patients‘ focus from food to psychotherapy.
c. promoting processing of anxiety associated with eating.
d. focusing on weight control mechanisms and food preparation.
c. promoting processing of anxiety associated with eating.
A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? (Select all that apply.)
a. Flexible mealtimes
b. Unscheduled weight checks
c. Adherence to a selected menu
d. Observation during and after meals
e. Monitoring during bathroom trips
f. Privileges correlated with emotional expression
c. Adherence to a selected menu
d. Observation during and after meals
e. Monitoring during bathroom trips
A nurse provides health teaching for a patient diagnosed with bulimia nervosa. Priority information the nurse should provide relates to
a. self-monitoring of daily food and fluid intake.
b. establishing the desired daily weight gain.
c. how to recognize hypokalemia.
d. self-esteem maintenance.
d. self-esteem maintenance.
T/F
Oppositional defiant disorders affects both emotions and behaviors.
true
mild symptoms or regular symptoms of Oppositional Defiant Disorder
persistent anger, defiance, and argumentative behavior
regular symptoms
mild symptoms or regular symptoms of Oppositional Defiant Disorder
temper tantrums and arguing, typically seen at home or school
mild symptoms
When the nurse is discussing oppositional defiant disorder with a group of parents, what information about the disorder should be included? Select all that apply
a. Classic symptoms, including anger, irritation, and defiant behavior.
b. The fact that children generally outgrow the behaviors without formal treatment.
c. That severity is considered mild when symptoms are present in only one setting.
d. That the disorder is diagnosed equally in both males and females.
e. That the terms argumentative and defiant are often used to describe the patient.
a. Classic symptoms, including anger, irritation, and defiant behavior.
b. The fact that children generally outgrow the behaviors without formal treatment.
c. That severity is considered mild when symptoms are present in only one setting.
e. That the terms argumentative and defiant are often used to describe the patient.
What assessment data would support a diagnosis of conduct disorder? Select all that apply.
a. Evidence of social isolation
b. Arrested twice for disorderly conduct
c. Expresses difficulty in keeping employment
d. Demonstrates objective signs of phobia
e. Exhibits signs of chronic self-mutilation
a. Evidence of social isolation
b. Arrested twice for disorderly conduct
c. Expresses difficulty in keeping employment
Conduct disorder is a precursor to what disorder?
antisocial personality disorder
A 15-year-old ran away from home six times and was arrested for shoplifting. The parents told the Court, “We can‘t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. Which diagnosis is supported by this adolescent‘s behavior?
a. Attention deficit hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. Intermittent explosive disorder
d. CD
d. CD
A 12-year-old has engaged in bullying for several years. The parents say, “We can‘t believe anything our child says.” Recently this child shot a dog with a pellet gun and set fire to a neighbor‘s trash bin. The child‘s behaviors support the diagnosis of
a. ADHD.
b. intermittent explosive disorder.
c. oppositional defiant disorder (ODD).
d. CD.
d. CD.
A child known as the neighborhood bully says, “Nobody can tell me what to do.” After receiving a poor grade on a science project, this child secretly loaded a virus on the teacher‘s computer. These behaviors support a diagnosis of
a. CD.
b. ODD.
c. intermittent explosive disorder.
d. ADHD.
b. ODD.
An adolescent was recently diagnosed with ODD. The parents say to the nurse, “Isn‘t there some medication that will help with this problem?” Select the nurse‘s best response.
a. “There are no medications to treat this problem. This diagnosis is behavioral in nature.’
b. “It‘s a common misconception that there is a medication available to treat every health problem.”
c. “Medication is usually not prescribed for this problem. Let‘s discuss some behavioral strategies you can use.”
d. “There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you.”
c. “Medication is usually not prescribed for this problem. Let‘s discuss some behavioral strategies you can use.”
