Nursing 126 Chapter 14 Eating Disorders questions
with verified answers
A nurse conducting group therapy on the eating disorders 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. Focusing on weight control mechanisms and food preparation.
d. Processing the heightened anxiety levels associated with eating.
Ans✓✓✓ d. Processing the heightened anxiety levels associated with
eating.
Eating produces high anxiety for patients with eating disorders. Anxiety
levels must be lowered if the patient is to be successful in attaining
therapeutic goals. Shifting the patients' focus from food to
psychotherapy and focusing on weight control mechanisms and food
preparation are not desirable. Maintaining patients' concentration and
attention is important, but not the primary purpose of the schedule.
,A nursing care plan for a patient with anorexia nervosa includes the
intervention "monitor for complications of refeeding." Which system
should a nurse closely monitor for dysfunction?
a. Renal
b. Endocrine
c. Central nervous
d. Cardiovascular Ans✓✓✓ d. Cardiovascular
Refeeding resulting in a too-rapid weight gain can overwhelm the heart,
resulting in cardiovascular collapse. Focused assessment becomes a
necessity to ensure patient physiologic integrity. The other body
systems are not initially involved in the refeeding syndrome.
A nursing diagnosis for a patient with bulimia nervosa is: Ineffective
coping, related to feelings of loneliness as evidenced by overeating to
comfort self, followed by self-induced vomiting. The best outcome
related to this diagnosis is that within 2 weeks the patient will:
a. appropriately express angry feelings.
, b. verbalize two positive things about self.
c. verbalize the importance of eating a
balanced diet.
d. identify two alternative methods of coping
with loneliness. Ans✓✓✓ d. identify two alternative methods of coping
with loneliness.
The outcome of identifying alternative coping strategies is most directly
related to the diagnosis of Ineffective coping. Verbalizing positive
characteristics of self and verbalizing the importance of eating a
balanced diet are outcomes that might be used for other nursing
diagnoses. Appropriately expressing angry feelings is not measurable.
A patient being admitted to the eating disorders unit has a yellow cast
to the skin and fine, downy hair covering the body. The patient weighs
70 pounds; height is 5 feet, 4 inches. The patient is quiet and says only,
"I won't eat until I look thin." What is the priority initial nursing
diagnosis?
a. Anxiety, related to fear of weight gain
b. Disturbed body image, related to weight
with verified answers
A nurse conducting group therapy on the eating disorders 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. Focusing on weight control mechanisms and food preparation.
d. Processing the heightened anxiety levels associated with eating.
Ans✓✓✓ d. Processing the heightened anxiety levels associated with
eating.
Eating produces high anxiety for patients with eating disorders. Anxiety
levels must be lowered if the patient is to be successful in attaining
therapeutic goals. Shifting the patients' focus from food to
psychotherapy and focusing on weight control mechanisms and food
preparation are not desirable. Maintaining patients' concentration and
attention is important, but not the primary purpose of the schedule.
,A nursing care plan for a patient with anorexia nervosa includes the
intervention "monitor for complications of refeeding." Which system
should a nurse closely monitor for dysfunction?
a. Renal
b. Endocrine
c. Central nervous
d. Cardiovascular Ans✓✓✓ d. Cardiovascular
Refeeding resulting in a too-rapid weight gain can overwhelm the heart,
resulting in cardiovascular collapse. Focused assessment becomes a
necessity to ensure patient physiologic integrity. The other body
systems are not initially involved in the refeeding syndrome.
A nursing diagnosis for a patient with bulimia nervosa is: Ineffective
coping, related to feelings of loneliness as evidenced by overeating to
comfort self, followed by self-induced vomiting. The best outcome
related to this diagnosis is that within 2 weeks the patient will:
a. appropriately express angry feelings.
, b. verbalize two positive things about self.
c. verbalize the importance of eating a
balanced diet.
d. identify two alternative methods of coping
with loneliness. Ans✓✓✓ d. identify two alternative methods of coping
with loneliness.
The outcome of identifying alternative coping strategies is most directly
related to the diagnosis of Ineffective coping. Verbalizing positive
characteristics of self and verbalizing the importance of eating a
balanced diet are outcomes that might be used for other nursing
diagnoses. Appropriately expressing angry feelings is not measurable.
A patient being admitted to the eating disorders unit has a yellow cast
to the skin and fine, downy hair covering the body. The patient weighs
70 pounds; height is 5 feet, 4 inches. The patient is quiet and says only,
"I won't eat until I look thin." What is the priority initial nursing
diagnosis?
a. Anxiety, related to fear of weight gain
b. Disturbed body image, related to weight
