Pharmacology A Patient-Centered Nursing Process
Approach Test Bank Version 2022, 11th Edition
1. Over the past year, a woman has cooked gourmet meals for her family but eats only
tiny servings. This person wears layered loose clothing. Her current weight is 95
pounds, a loss of 35 pounds. Which medical diagnosis is most likely?
a. Binge eating
b. Bulimia nervosa
c. Anorexia nervosa
d. Eating disorder not otherwise specifiedANSWERS-C
Overly controlled eating behaviors, extreme weight loss, preoccupation with food, and
wearing several layers of loose clothing to appear larger are part of the clinical picture of
an individual with anorexia nervosa. The individual with bulimia usually is near normal
weight. The binge eater is often overweight. The patient with eating disorder not
otherwise specified may be obese.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 18-67 (Box 18-1) TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity
Which anorexia nervosa symptom is physical in nature?
A. Dry, yellow skin
B. Perfectionism
C. Frequent weighing
D. Preoccupation with foodANSWERS-Answer: A
Dry yellow skin is a physical symptom of anorexia. This is due to the release of
carotenes as fat stores are burned for energy.
A nurse sitting with a client diagnosed with anorexia nervosa notices that the client has
eaten 80% of lunch. The client asks the nurse "What do you like better, hamburgers or
spaghetti?" Which is the best response by the nurse?
A. I'm Italian, so I really enjoy a large plate of spaghetti
B. I'll weigh you after your meal
C. Let's focus on your continued improvement. You ate 80% of your lunch
D. Why do you always talk about food? Let's talk about swimmingANSWERS-Answer :C
It is important to offer support and positive reinforcement for improvements in eating
behaviors. Because clients diagnosed with anorexia nervosa are obsessed with food,
discussion of food can provide unintended positive reinforcement for negative
behaviors. In this answer, the nurse is redirecting the client.
Which outcome indicates that the client's problem of impaired body image has
improved?
A. The client has gained up to 80% of body weight for age and size
, B. The client is free of symptoms of malnutrition and dehydration
C. The client has not attempted to self induce vomiting
D. The client has acknowledged that perception of being fat is incorrectANSWERS-
Answer: D
When clients can acknowledge that their perception of being fat is incorrect, they
perceive a body image that is realistic and not distorted. This is evidence that the
client's impaired body image has improved. The outcome of A indicated that the nursing
diagnosis of imbalanced nutrition: less than body requirements, not impaired body
image, has been resolved. Being free of B is an outcome that indicates the nursing
diagnosis of imbalanced nutrition, less than body requirement, not impaired body image
has been resolved. Not attempting self induced vomiting is an outcome that indicates
that the nursing diagnosis of altered coping, not impaired body image, has been
resolved. Not resorting to the maladaptive coping mechanism of self induced vomiting
indicates improvement in the client's ability to cope effectively with stressors.
A client on an inpatient unit has been diagnosed with bulimia nervosa. The client states'
"I'm going to the bathroom and will be back in a few minutes." Which nursing response
is most appropriate?
A. Thanks for checking in
B. I will accompany you to the bathroom
C. Let me know when you get back to the day room
D. I'll stand outside your door to give you privacy.ANSWERS-Answer: B
Any client suspected of self induced vomiting should be accompanied to the bathroom
for the nurse to be able to deter this behavior.
A client with a long history of bulimia nervosa is seen in the emergency department. The
client is seeing things that others do not, is restless, and has dry mucous membranes.
Which is most likely the cause of this client's symptoms?
A. Mood disorders, which often accompany the diagnosis of bulimia nervosa
B. Nutritional deficits, which are characteristic of bulimia nervosa
C. Vomiting, which may lead to dehydration and electrolyte imbalance
D. Binging, which causes abdominal discomfortANSWERS-Answer: C
Purging behaviors, such as vomiting, may lead to dehydration and electrolyte
imbalance. Hallucinations and restlessness are signs of electrolyte imbalance. Dry
mucous membranes indicated dehydration. Nutritional deficits are characteristic of
bulimia nervosa, but the client symptoms described in the question do not reflect a
nutritional deficit.
A client diagnosed with an eating disorder has a nursing diagnosis of low self esteem.
Which nursing intervention would address this client's problem?
A. Offer independent decision making opportunities
B. Review previously successful coping strategies
C. Provide a quiet environment with decreased stimulation
D. Allow the client to remain in a dependent role throughout treatmentANSWERS-
Answer: A
Approach Test Bank Version 2022, 11th Edition
1. Over the past year, a woman has cooked gourmet meals for her family but eats only
tiny servings. This person wears layered loose clothing. Her current weight is 95
pounds, a loss of 35 pounds. Which medical diagnosis is most likely?
a. Binge eating
b. Bulimia nervosa
c. Anorexia nervosa
d. Eating disorder not otherwise specifiedANSWERS-C
Overly controlled eating behaviors, extreme weight loss, preoccupation with food, and
wearing several layers of loose clothing to appear larger are part of the clinical picture of
an individual with anorexia nervosa. The individual with bulimia usually is near normal
weight. The binge eater is often overweight. The patient with eating disorder not
otherwise specified may be obese.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 18-67 (Box 18-1) TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity
Which anorexia nervosa symptom is physical in nature?
A. Dry, yellow skin
B. Perfectionism
C. Frequent weighing
D. Preoccupation with foodANSWERS-Answer: A
Dry yellow skin is a physical symptom of anorexia. This is due to the release of
carotenes as fat stores are burned for energy.
A nurse sitting with a client diagnosed with anorexia nervosa notices that the client has
eaten 80% of lunch. The client asks the nurse "What do you like better, hamburgers or
spaghetti?" Which is the best response by the nurse?
A. I'm Italian, so I really enjoy a large plate of spaghetti
B. I'll weigh you after your meal
C. Let's focus on your continued improvement. You ate 80% of your lunch
D. Why do you always talk about food? Let's talk about swimmingANSWERS-Answer :C
It is important to offer support and positive reinforcement for improvements in eating
behaviors. Because clients diagnosed with anorexia nervosa are obsessed with food,
discussion of food can provide unintended positive reinforcement for negative
behaviors. In this answer, the nurse is redirecting the client.
Which outcome indicates that the client's problem of impaired body image has
improved?
A. The client has gained up to 80% of body weight for age and size
, B. The client is free of symptoms of malnutrition and dehydration
C. The client has not attempted to self induce vomiting
D. The client has acknowledged that perception of being fat is incorrectANSWERS-
Answer: D
When clients can acknowledge that their perception of being fat is incorrect, they
perceive a body image that is realistic and not distorted. This is evidence that the
client's impaired body image has improved. The outcome of A indicated that the nursing
diagnosis of imbalanced nutrition: less than body requirements, not impaired body
image, has been resolved. Being free of B is an outcome that indicates the nursing
diagnosis of imbalanced nutrition, less than body requirement, not impaired body image
has been resolved. Not attempting self induced vomiting is an outcome that indicates
that the nursing diagnosis of altered coping, not impaired body image, has been
resolved. Not resorting to the maladaptive coping mechanism of self induced vomiting
indicates improvement in the client's ability to cope effectively with stressors.
A client on an inpatient unit has been diagnosed with bulimia nervosa. The client states'
"I'm going to the bathroom and will be back in a few minutes." Which nursing response
is most appropriate?
A. Thanks for checking in
B. I will accompany you to the bathroom
C. Let me know when you get back to the day room
D. I'll stand outside your door to give you privacy.ANSWERS-Answer: B
Any client suspected of self induced vomiting should be accompanied to the bathroom
for the nurse to be able to deter this behavior.
A client with a long history of bulimia nervosa is seen in the emergency department. The
client is seeing things that others do not, is restless, and has dry mucous membranes.
Which is most likely the cause of this client's symptoms?
A. Mood disorders, which often accompany the diagnosis of bulimia nervosa
B. Nutritional deficits, which are characteristic of bulimia nervosa
C. Vomiting, which may lead to dehydration and electrolyte imbalance
D. Binging, which causes abdominal discomfortANSWERS-Answer: C
Purging behaviors, such as vomiting, may lead to dehydration and electrolyte
imbalance. Hallucinations and restlessness are signs of electrolyte imbalance. Dry
mucous membranes indicated dehydration. Nutritional deficits are characteristic of
bulimia nervosa, but the client symptoms described in the question do not reflect a
nutritional deficit.
A client diagnosed with an eating disorder has a nursing diagnosis of low self esteem.
Which nursing intervention would address this client's problem?
A. Offer independent decision making opportunities
B. Review previously successful coping strategies
C. Provide a quiet environment with decreased stimulation
D. Allow the client to remain in a dependent role throughout treatmentANSWERS-
Answer: A
