Chapter 30. Eating Disorders
Multiple Choice
1. 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?
A. This therapy will increase the clients motivation to gain weight.
B. This therapy will reward the client for perfectionist achievements.
C. This therapy will provide the client with control over behavioral choices. D. This
therapy will protect the client from parental overindulgence.
ANS: C
The nurse should identify that behavior modification therapy will be used because it
provides the client with control over behavioral choices. Clients diagnosed with
anorexia nervosa are often allowed to contract privileges based on weight gain. The
client maintains control over eating and exercise.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
2. Family dynamics are thought to be a major influence in the development of anorexia
nervosa. Which information related to a clients home environment should a nurse
associate with the development of this disorder?
A. The home environment maintains loose personal boundaries. B. The home
environment places an overemphasis on food.
, C. The home environment is overprotective and demands perfection. D. The home
environment condones corporal punishment.
ANS: C
The nurse should assess that a home environment that is overprotective and demands
perfection may be an influence in the development of anorexia nervosa. In
adolescence, distorted eating patterns may represent a rebellion against controlling
and demanding parents.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Psychosocial Integrity
3. A clients altered body image is evidenced by claims of feeling fat, even though the
client is emaciated. Which is the appropriate outcome criterion for this clients
problem?
A. The client will consume adequate calories to sustain normal weight. B. The client
will cease strenuous exercise programs.
C. The client will perceive an ideal body weight and shape as normal. D. The client will
not express a preoccupation with food.
ANS: C
The nurse should identify that the appropriate outcome for this client is to perceive an
ideal body weight and shape as normal. Additional goals include accepting self on the
basis of self-attributes instead of appearance and to realize that perfection is
unrealistic.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Planning |
Client Need:
Psychosocial Integrity
Multiple Choice
1. 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?
A. This therapy will increase the clients motivation to gain weight.
B. This therapy will reward the client for perfectionist achievements.
C. This therapy will provide the client with control over behavioral choices. D. This
therapy will protect the client from parental overindulgence.
ANS: C
The nurse should identify that behavior modification therapy will be used because it
provides the client with control over behavioral choices. Clients diagnosed with
anorexia nervosa are often allowed to contract privileges based on weight gain. The
client maintains control over eating and exercise.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
2. Family dynamics are thought to be a major influence in the development of anorexia
nervosa. Which information related to a clients home environment should a nurse
associate with the development of this disorder?
A. The home environment maintains loose personal boundaries. B. The home
environment places an overemphasis on food.
, C. The home environment is overprotective and demands perfection. D. The home
environment condones corporal punishment.
ANS: C
The nurse should assess that a home environment that is overprotective and demands
perfection may be an influence in the development of anorexia nervosa. In
adolescence, distorted eating patterns may represent a rebellion against controlling
and demanding parents.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Psychosocial Integrity
3. A clients altered body image is evidenced by claims of feeling fat, even though the
client is emaciated. Which is the appropriate outcome criterion for this clients
problem?
A. The client will consume adequate calories to sustain normal weight. B. The client
will cease strenuous exercise programs.
C. The client will perceive an ideal body weight and shape as normal. D. The client will
not express a preoccupation with food.
ANS: C
The nurse should identify that the appropriate outcome for this client is to perceive an
ideal body weight and shape as normal. Additional goals include accepting self on the
basis of self-attributes instead of appearance and to realize that perfection is
unrealistic.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Planning |
Client Need:
Psychosocial Integrity
