Review questions: Eating disorders

1
Review questionsEating disorders

• The nurse should include which of the following
  interventions in the plan of care for a client
  with bulimia? (select all that apply)
• A. Encourage the client to avoid eating except at
  mealtime.
• B. Promote a weight gain of 3 to 5 pounds per
  week.
• C. Observe the client for one hour after meals.
• D. Encourage the client to identify foods that
  trigger a binge.
• E. Instruct the client to keep laxatives and
  diuretics in a locked area.
• F. Inform the client that there are no
  forbidden foods.

2
Review questions

• The nurse is caring for a client with anorexia
  nervosa. Even though client has been eating all
  her meals and snacks her weight is unchanged for
  one week. Which intervention would be indicated
• A. Close Obs.xs2 hrs. p meals/snacks
• B. ? caloric intake from 1500 2000 calories
• C. ?fluid intake
• D. Request Rx for antianxiety med from MD

3

• An intoxicated client is admitted to the hospital
  for alcohol withdrawal. Which of the following
  actions would the nurse do to assist the client
  to become sober?
• A. Give client black coffee to drink
• B. Have the client take a cold shower
• C. Provide client with a quiet room to sleep
• D. Walk around the unit with the client

4
The nurse is evaluating the progress of a client
with bulimia.Which behavior indicates the client
is making progress?

• A. The client identifies 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

5
A client diagnosed with bulimia tells the
nurse she eats excessively when she is upset then
vomits so she wont gain weight. The most
appropriate nursing diagnosis for this client
is

• A. Anxiety
• B. Disabled family coping
• C. Imbalanced nutritionmore than body
  requirements
• D. Ineffective coping

6
When teaching a group of adolescents about
anorexia, the nurse would describe this disorder
as being characterized by which of the following

1. Excessive fear of becoming obese, near-normal
   weight, and self-critical body image
2. Extreme concern about dieting, calorie
   counting,and an unrealistic body image
3. Intense fear of becoming obese,emaciation, and a
   disturbed body image
4. Obsession with the weight of others,chronic
   dieting, and an altered body image.

7

• Which of the following nursing interventions
  should the nurse include in the plan of care for
  a client with anorexia nervosa in the outpatient
  setting?
• (select all that apply)
• A. Set minimum weight limits in which the client
  may continue treatment in the outpatient
  setting.
• B. Avoid discussing the clients irrational
  thoughts about food and weight with the clients
  family.
• C. Encourage the client to be weighed dailyat the
  same time of day.
• D. Instruct the client to avoid preparing ones
  own meal.
• E. Instruct the client to keep a food diary.
• F. Assist the client with meal planning.

8

• The nurse should assess a client suspected of
  having bulimia for which of the following
  clinical manifestations (select all
  that apply)
• A. Constipation
• B. A 20 loss of normal body weight
• C. Dental erosion
• D. Languo
• E. A serum potassium of 3.0mEq/L
• F. Depression

9

• Which of the following nursing interventions
  should the nurse include in the plan of care for
  a client with anorexia nervosa in the
  outpatient setting? (select all that apply)
• A. Set minimum weight limits in which the client
  may continue treatment in the outpatient setting.
• B. Avoid discussing the clients irrational
  thoughts about food and weight with the clients
  family.
• C. Encourage the client to be weighed dailyat the
  same time of day.
• D. Instruct the client to avoid preparing ones
  own meal.
• E. Instruct the client to keep a food diary.
• F. Assist the client with meal planning.